Healthcare Provider Details

I. General information

NPI: 1295122356
Provider Name (Legal Business Name): YU HAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2015
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 MAYNARD AVE S
SEATTLE WA
98104-2920
US

IV. Provider business mailing address

611 MAYNARD AVE S
SEATTLE WA
98104-2920
US

V. Phone/Fax

Practice location:
  • Phone: 425-553-4325
  • Fax: 425-249-3189
Mailing address:
  • Phone: 425-553-4325
  • Fax: 425-249-3189

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberMD60916507
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD60916507
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: