=====================================================
General NPI Number Information
=====================================================
NPI Number | 1659353092
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SABRINA MAN YEE YON MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/18/2005
-----------------------------------------------------
Last Update Date | 02/16/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8301 161ST AVE NE SUITE 308
-----------------------------------------------------
City | REDMOND
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98052-3858
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 425-882-5020
-----------------------------------------------------
Fax | 425-882-5021
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 34036
-----------------------------------------------------
City | SEATTLE
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98124-1036
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 425-899-3292
-----------------------------------------------------
Fax | 425-899-3269
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | MD00039801
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------