Provider Demographics
NPI:1710195904
Name:SAID, YASSER MA (MD)
Entity Type:Individual
Prefix:
First Name:YASSER
Middle Name:MA
Last Name:SAID
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 850
Mailing Address - Street 2:
Mailing Address - City:PORT ANGELES
Mailing Address - State:WA
Mailing Address - Zip Code:98362-0146
Mailing Address - Country:US
Mailing Address - Phone:360-417-7000
Mailing Address - Fax:360-417-7318
Practice Address - Street 1:939 CAROLINE ST
Practice Address - Street 2:
Practice Address - City:PORT ANGELES
Practice Address - State:WA
Practice Address - Zip Code:98362-3997
Practice Address - Country:US
Practice Address - Phone:360-417-7000
Practice Address - Fax:360-417-7318
Is Sole Proprietor?:No
Enumeration Date:2007-05-19
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00048029207R00000X, 208M00000X, 208M00000X
MN69125207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001454420Medicaid
CT581828OtherHMN
7823659OtherAETNA
045442OtherCONNECTICARE
CT1710195904OtherCIGNA
CT7823659OtherAETNA
CT1710195904OtherCHN
CT010119722CT01OtherBCBS
CT045442OtherCONNECTICARE
1710195904OtherTRICARE
CT045442OtherCONNECTICARE