Provider Demographics
NPI:1740706688
Name:SHI, HUIYI
Entity type:Individual
Prefix:
First Name:HUIYI
Middle Name:
Last Name:SHI
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 1:16510 CLEVELAND ST STE O
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-5197
Mailing Address - Country:US
Mailing Address - Phone:1206-201-1161
Mailing Address - Fax:
Practice Address - Street 1:16510 CLEVELAND ST STE O
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-5197
Practice Address - Country:US
Practice Address - Phone:206-201-1161
Practice Address - Fax:206-201-1161
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-22
Last Update Date:2017-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60781564171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist