Healthcare Provider Details

I. General information

NPI: 1013596550
Provider Name (Legal Business Name): CLARA INA YUH DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2021
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1959 NE PACIFIC ST
SEATTLE WA
98195-0001
US

IV. Provider business mailing address

133 NAVIGATOR DR
SCOTTS VALLEY CA
95066-4063
US

V. Phone/Fax

Practice location:
  • Phone: 206-616-8043
  • Fax:
Mailing address:
  • Phone: 831-247-1241
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License NumberDO.OP.70113051
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License NumberOL61676051
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: