Healthcare Provider Details

I. General information

NPI: 1225094345
Provider Name (Legal Business Name): CARRIE LOUISE YUAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 07/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 9TH AVE BOX 359912
SEATTLE WA
98104-2420
US

IV. Provider business mailing address

325 9TH AVE BOX 359912
SEATTLE WA
98104-2420
US

V. Phone/Fax

Practice location:
  • Phone: 206-731-5944
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberPH00053155
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: