Healthcare Provider Details

I. General information

NPI: 1194629907
Provider Name (Legal Business Name): JIYEON JEN LIM MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3417 EVANSTON AVE N STE 406
SEATTLE WA
98103-8969
US

IV. Provider business mailing address

3417 EVANSTON AVE N STE 406
SEATTLE WA
98103-8969
US

V. Phone/Fax

Practice location:
  • Phone: 206-738-2420
  • Fax: 206-237-1460
Mailing address:
  • Phone: 206-738-2420
  • Fax: 206-237-1460

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. JIYEON JEN LIM
Title or Position: PSYCHIATRIST
Credential: MD
Phone: 302-357-1393