Individual
DR. YONGQING LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1455 BATTERSBY AVE, ENUMCLAW, WA 98022-3634
(253) 426-6341
(253) 426-6344
Mailing address
1455 BATTERSBY AVE, ENUMCLAW, WA 98022-3634
(253) 426-6341
(253) 426-6344
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60515800
WA
208M00000X
Hospitalist Physician
Primary
MD60515800
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2044318
—
WA
01
—
P01553811
RR MEDICARE WVH
WA
Enumeration date
09/13/2012
Last updated
01/05/2023
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