Provider Demographics
NPI:1881626307
Name:YIN, WAY (MD)
Entity type:Individual
Prefix:
First Name:WAY
Middle Name:
Last Name:YIN
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 1:1005 LONE TREE CT
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98229-3167
Mailing Address - Country:US
Mailing Address - Phone:360-714-0093
Mailing Address - Fax:
Practice Address - Street 1:2075 BARKLEY BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-6614
Practice Address - Country:US
Practice Address - Phone:360-527-8111
Practice Address - Fax:360-527-8115
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00027115207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8255242Medicaid
G33700Medicare UPIN
WAAB15328Medicare ID - Type Unspecified