Individual
DALE YOSHI MIYAUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11800 NE 128TH ST, #560, KIRKLAND, WA 98034
(425) 899-5200
(425) 899-5204
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 899-5200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00022083
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1034388
—
WA
01
—
1522
L & I
—
Enumeration date
12/06/2006
Last updated
03/07/2023
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