Individual
YANG QU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
424 LILLY RD NE, OLYMPIA, WA 98506-5132
(360) 459-1700
Mailing address
424 LILLY RD NE, OLYMPIA, WA 98506-5132
(360) 459-1700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61230421
WA
Other
Enumeration date
05/04/2020
Last updated
06/05/2024
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