Provider Demographics
NPI:1669862165
Name:MILLER, YOKO
Entity Type:Individual
Prefix:
First Name:YOKO
Middle Name:
Last Name:MILLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:YOKO
Other - Middle Name:
Other - Last Name:FUJIMOTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:227 208TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:SAMMAMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98074-6937
Mailing Address - Country:US
Mailing Address - Phone:954-647-6050
Mailing Address - Fax:425-881-0865
Practice Address - Street 1:1370 116TH AVE NE
Practice Address - Street 2:SUITE 201
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-3825
Practice Address - Country:US
Practice Address - Phone:425-455-0526
Practice Address - Fax:425-455-0526
Is Sole Proprietor?:No
Enumeration Date:2015-02-04
Last Update Date:2016-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALD60529337231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist