Healthcare Provider Details

I. General information

NPI: 1942675277
Provider Name (Legal Business Name): YU-TING CHIEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2015
Last Update Date: 05/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4025 DELRIDGE WAY SW SUITE#400
SEATTLE WA
98106-1249
US

IV. Provider business mailing address

4025 DELRIDGE WAY SW SUITE#400
SEATTLE WA
98106-1249
US

V. Phone/Fax

Practice location:
  • Phone: 206-763-2626
  • Fax: 206-767-1397
Mailing address:
  • Phone: 206-763-2626
  • Fax: 206-767-1397

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH60707292
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP446868
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: