Healthcare Provider Details

I. General information

NPI: 1477917276
Provider Name (Legal Business Name): ERIC YUEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2016
Last Update Date: 11/03/2023
Certification Date: 11/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 9TH AVE
SEATTLE WA
98101-2756
US

IV. Provider business mailing address

925 SENECA ST MS: H8-GME
SEATTLE WA
98101-2742
US

V. Phone/Fax

Practice location:
  • Phone: 206-223-6980
  • Fax:
Mailing address:
  • Phone: 206-515-5811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD61037840
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberMD61037840
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: