Individual
PHILIP R YEARIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
7308 BRIDGEPORT WAY W, SUITE 201, LAKEWOOD, WA 98499-8000
(253) 582-7257
(253) 582-1617
Mailing address
805 MADISON ST, SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P000000535
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005973
—
WA
01
—
346704
WA STATE LNI
WA
Enumeration date
02/24/2006
Last updated
01/05/2016
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