MEDICARE: JOANNA LIAO 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	207R00000X	Internal Medicine Physician	036179512	IL
2	207R00000X	Internal Medicine Physician	MD70015347	WA

General Provider Information

NPI Number	:	1275237026
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANNA LIAO MD

Provider Business Mailing Address
First Line	:	1959 NE PACIFIC STREET BOX : 356421
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98195-6421
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1959 NE PACIFIC STREET BOX : 356421
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98195-6421
Country	:	US
Telephone Number	:	206-520-5000
Fax Number	:

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

Provider Enumeration Date	:	03/27/2023
Last Update Date	:	04/19/2026

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