Individual
JAY J LIAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-4100
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD00048084
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8479347
—
WA
Enumeration date
05/24/2007
Last updated
08/16/2007
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