Healthcare Provider Details

I. General information

NPI: 1255918959
Provider Name (Legal Business Name): MARIA YAO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2021
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1148 BROADWAY STE 100
TACOMA WA
98402-3518
US

IV. Provider business mailing address

1148 BROADWAY STE 100
TACOMA WA
98402-3518
US

V. Phone/Fax

Practice location:
  • Phone: 253-268-1170
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD70107653
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: