Provider Demographics
NPI:1194469759
Name:OU, HSIN-YU
Entity Type:Individual
Prefix:
First Name:HSIN-YU
Middle Name:
Last Name:OU
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 1:15566 NE 22ND PL UNIT S456
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98007-3874
Mailing Address - Country:US
Mailing Address - Phone:206-849-6365
Mailing Address - Fax:
Practice Address - Street 1:22640 SE 4TH ST STE 212
Practice Address - Street 2:
Practice Address - City:SAMMAMISH
Practice Address - State:WA
Practice Address - Zip Code:98074-7131
Practice Address - Country:US
Practice Address - Phone:425-979-3168
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-20
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2951000904122300000X
390200000X
WADE61440906122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program