Individual
FAN LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
13451 SE 36TH ST, BELLEVUE, WA 98006-1454
(425) 562-1337
(425) 562-1331
Mailing address
13451 SE 36TH ST, BELLEVUE, WA 98006-1454
(425) 562-1337
(425) 562-1331
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OP61652852
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/05/2021
Last updated
02/26/2026
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