Healthcare Provider Details

I. General information

NPI: 1942560347
Provider Name (Legal Business Name): STELLA YEE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2012
Last Update Date: 08/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14508 NE 20TH AVE SUITE 300
VANCOUVER WA
98686-6424
US

IV. Provider business mailing address

14508 NE 20TH AVE SUITE 300
VANCOUVER WA
98686-6424
US

V. Phone/Fax

Practice location:
  • Phone: 360-892-0208
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number60667743
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: