Individual
CHANGHO YI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11306 BRIDGEPORT WAY SW STE D, LAKEWOOD, WA 98499-3037
(253) 983-9390
Mailing address
4029 NORTHWEST AVE STE 301, BELLINGHAM, WA 98226-9077
(253) 983-9390
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
MD61616683
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/02/2022
Last updated
03/19/2026
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