Individual
MARK LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(507) 990-9032
Mailing address
1959 NE PACIFIC ST BOX 356540, SEATTLE, WA 98195-0001
(206) 543-2474
(206) 542-2958
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/21/2022
Last updated
03/25/2022
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