Individual
TIFFANY YIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1414 116TH AVE NE STE E, BELLEVUE, WA 98004-3801
(425) 753-2918
Mailing address
3040 78TH AVE SE UNIT 958, MERCER ISLAND, WA 98040-3685
(650) 302-2624
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
PA10005063
WA
363A00000X
Physician Assistant
PA10005063
WA
363AM0700X
Medical Physician Assistant
PA10005063
WA
363AS0400X
Surgical Physician Assistant
Primary
PA10005063
WA
Other
Enumeration date
12/29/2006
Last updated
12/30/2020
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