Provider Demographics
NPI:1821385600
Name:YIN, JIXING
Entity Type:Individual
Prefix:MR
First Name:JIXING
Middle Name:
Last Name:YIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14100 NE 20TH ST STE 201
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98007-3727
Mailing Address - Country:US
Mailing Address - Phone:425-643-2080
Mailing Address - Fax:206-338-9711
Practice Address - Street 1:14100 NE 20TH ST STE 201
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-3727
Practice Address - Country:US
Practice Address - Phone:425-643-2080
Practice Address - Fax:206-338-9711
Is Sole Proprietor?:No
Enumeration Date:2011-06-30
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60214046174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist