Healthcare Provider Details

I. General information

NPI: 1316984701
Provider Name (Legal Business Name): YORIKO KOZUKI PH.D., A.R.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 05/21/2022
Certification Date: 05/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2366 EASTLAKE AVE E SUITE 438
SEATTLE WA
98102-3366
US

IV. Provider business mailing address

13714 22ND AVE NE
SEATTLE WA
98125-3314
US

V. Phone/Fax

Practice location:
  • Phone: 206-325-3873
  • Fax: 206-325-3873
Mailing address:
  • Phone: 206-388-8667
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP30005822
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: