Individual
CAROLYN C LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22707 SE 29TH ST, SAMMAMISH, WA 98075-9532
(425) 455-2845
(425) 861-8602
Mailing address
PO BOX 84026, SEATTLE, WA 98124-8426
(425) 401-1365
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00043607
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0192098
LABOR AND INDUSTRIES
WA
05
—
8412967
—
WA
Enumeration date
12/15/2006
Last updated
05/24/2021
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