MEDICARE: JANE YUMIN XIE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	MD60097892	WA

General Provider Information

NPI Number	:	1134140478
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANE YUMIN XIE MD

Provider Business Mailing Address
First Line	:	PO BOX 12362
Second Line	:
City	:	MILL CREEK
State	:	WA
Zip	:	98082-0362
Country	:	US
Telephone Number	:	206-450-2316
Fax Number	:

Provider Business Practice Location Address
First Line	:	13020 MERIDIAN AVE S
Second Line	:	(SWEDISH HEALTH SERVICES)
City	:	EVERETT
State	:	WA
Zip	:	98208-6468
Country	:	US
Telephone Number	:	206-386-4744
Fax Number	:	206-251-9933

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2006
Last Update Date	:	04/03/2014

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