Individual
AMY LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9398 RIDGETOP BLVD NW, SILVERDALE, WA 98383-8505
(360) 782-3200
(360) 782-3244
Mailing address
9398 RIDGETOP BLVD NW, SILVERDALE, WA 98383-8505
(360) 782-3200
(360) 377-1558
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301098484
MI
208800000X
Urology Physician
4301098484
MI
208800000X
Urology Physician
Primary
MD60626630
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2064029
—
WA
Enumeration date
04/19/2011
Last updated
02/22/2022
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