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Physician Compare National (NPI:1346566098)

HEALTHCARE PROVIDER: YVONNE YEN D.O.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1346566098
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 8022252600
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20180508002493
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name YEN
Individual professional last name
Provider First Name YVONNE
Individual professional first name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 2006
Individual professional's medical school graduation year
Primary Specialty INTERNAL MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name MULTICARE HEALTH SYSTEM
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 7719899897
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 1429
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 10004 204TH AVE E
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 1300
Group Practice or individual's line 2 address
City BONNEY LAKE
Group Practice or individual's city
State WA
Group Practice or individual's state
Zip Code 983916537
Group Practice or individual's zip code (9 digits when available)
Phone Number 2538488797
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 500129
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 TACOMA GENERAL ALLENMORE HOSPITAL
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 501335
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 ST ELIZABETH HOSPITAL
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 500015
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 MULTICARE AUBURN MEDICAL CENTER
Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment Y

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