Provider Demographics
NPI:1407982374
Name:YAO, YUNCHUNG (LMP)
Entity Type:Individual
Prefix:
First Name:YUNCHUNG
Middle Name:
Last Name:YAO
Suffix:
Gender:M
Credentials:LMP
Other - Prefix:
Other - First Name:ALEC
Other - Middle Name:
Other - Last Name:YAO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMP
Mailing Address - Street 1:616 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-2204
Mailing Address - Country:US
Mailing Address - Phone:206-467-8611
Mailing Address - Fax:206-467-6337
Practice Address - Street 1:616 2ND AVE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2204
Practice Address - Country:US
Practice Address - Phone:206-467-8611
Practice Address - Fax:206-467-6337
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist