Healthcare Provider Details

I. General information

NPI: 1811798283
Provider Name (Legal Business Name): KRISTINE RUIPING LIANG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2025
Last Update Date: 05/31/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1959 NE PACIFIC ST. BOX 356540
SEATTLE WA
98195
US

IV. Provider business mailing address

1959 NE PACIFIC ST. BOX 356540
SEATTLE WA
98195
US

V. Phone/Fax

Practice location:
  • Phone: 206-543-2474
  • Fax:
Mailing address:
  • Phone: 206-543-2474
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMDRE.ML.70113133
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: