Organization
SAMUEL Y SHIU
Active
Other names
The Promise Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL Y SHIU M.D. (OWNER)
(425) 462-7333
Entity
Organization
Contact information
Practice address
1940 116TH AVE NE STE 200, BELLEVUE, WA 98004-3074
(425) 462-7333
(425) 462-5641
Mailing address
1940 116TH AVE NE STE 200, BELLEVUE, WA 98004-3074
(425) 462-7333
(425) 462-5641
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010064233
RR MEDICARE
WA
05
—
1113380
—
WA
Enumeration date
07/08/2006
Last updated
03/29/2017
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