Provider Demographics
NPI:1407326473
Name:HSIEH, YI-EN
Entity Type:Individual
Prefix:
First Name:YI-EN
Middle Name:
Last Name:HSIEH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JILL
Other - Middle Name:YI-EN
Other - Last Name:HSIEH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1207 SE RASMUSSEN BLVD
Mailing Address - Street 2:SUITE 119
Mailing Address - City:BATTLE GROUND
Mailing Address - State:WA
Mailing Address - Zip Code:98604
Mailing Address - Country:US
Mailing Address - Phone:509-354-5090
Mailing Address - Fax:
Practice Address - Street 1:1207 SE RASMUSSEN BLVD
Practice Address - Street 2:SUITE 119
Practice Address - City:BATTLE GROUND
Practice Address - State:WA
Practice Address - Zip Code:98604
Practice Address - Country:US
Practice Address - Phone:509-354-5090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-03
Last Update Date:2019-10-30
Deactivation Date:2019-07-19
Deactivation Code:
Reactivation Date:2019-10-30
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program