Provider Demographics
NPI:1730464629
Name:LIU, YU
Entity Type:Individual
Prefix:
First Name:YU
Middle Name:
Last Name:LIU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7206 267TH ST NW
Mailing Address - Street 2:SUITE 103A
Mailing Address - City:STANWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98292-6269
Mailing Address - Country:US
Mailing Address - Phone:360-926-8889
Mailing Address - Fax:
Practice Address - Street 1:7206 267TH ST NW
Practice Address - Street 2:SUITE 103A
Practice Address - City:STANWOOD
Practice Address - State:WA
Practice Address - Zip Code:98292-6269
Practice Address - Country:US
Practice Address - Phone:360-926-8889
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-11
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC60128729171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist