Provider Demographics
NPI:1134104011
Name:VU, YEN HOANG
Entity Type:Individual
Prefix:MRS
First Name:YEN
Middle Name:HOANG
Last Name:VU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6939 COAL CREEK PK SE
Mailing Address - Street 2:
Mailing Address - City:NEWCASTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98056-2754
Mailing Address - Country:US
Mailing Address - Phone:425-644-4416
Mailing Address - Fax:
Practice Address - Street 1:6939 COAL CREEK PKWY SE
Practice Address - Street 2:
Practice Address - City:NEWCASTLE
Practice Address - State:WA
Practice Address - Zip Code:98059-3136
Practice Address - Country:US
Practice Address - Phone:425-644-4416
Practice Address - Fax:425-644-7427
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2008-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAVA00052546183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAVA00052546OtherPHARMACY TECHNICIAN