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Individual

DR. CLIVE KEFEI LIU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 690-3422
(425) 690-9422
Mailing address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 690-3422
(425) 690-9422

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD61076133
WA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
MD61076133
WA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2189204
WA
Enumeration date
05/25/2016
Last updated
03/10/2022
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