Healthcare Provider Details

I. General information

NPI: 1508658204
Provider Name (Legal Business Name): GHEE-HEE YANG RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2025
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1229 MADISON ST STE 500
SEATTLE WA
98104-1305
US

IV. Provider business mailing address

PO BOX 616
MILTON WA
98354-0616
US

V. Phone/Fax

Practice location:
  • Phone: 206-338-3331
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License NumberRN61361077
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP70053319
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: