=====================================================
General NPI Number Information
=====================================================
NPI Number | 1780621698
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CHAO-YING WU MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/31/2006
-----------------------------------------------------
Last Update Date | 09/11/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2075 BARKLEY BLVD SUITE 105
-----------------------------------------------------
City | BELLINGHAM
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98226-6614
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 360-671-3345
-----------------------------------------------------
Fax | 360-650-1354
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 709 W. ORCHARD DR. SUITE #4
-----------------------------------------------------
City | BELLINGHAM
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98225
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 360-318-8800
-----------------------------------------------------
Fax | 360-318-1085
-----------------------------------------------------
=====================================================
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 | MD00027691
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------