Provider Demographics
NPI:1396016820
Name:LIU, YINHSU (ND, RD)
Entity Type:Individual
Prefix:DR
First Name:YINHSU
Middle Name:
Last Name:LIU
Suffix:
Gender:F
Credentials:ND, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13401 BEL RED RD STE A12
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-2322
Mailing Address - Country:US
Mailing Address - Phone:425-392-8881
Mailing Address - Fax:425-633-2166
Practice Address - Street 1:13401 BEL RED RD STE A12
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-2322
Practice Address - Country:US
Practice Address - Phone:425-392-8881
Practice Address - Fax:425-633-2166
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-13
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL922116133V00000X
CAND-566175F00000X, 175F00000X
WANT60477919175F00000X
CACA-ND-566175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered