Individual
DIANE S CHIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 112TH AVE NE STE C187, BELLEVUE, WA 98004-3749
(425) 457-7900
(425) 457-7499
Mailing address
1100 OLIVE WAY, MS:M4-PA, SEATTLE, WA 98101-1873
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD0043597
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039576
L&I
WA
01
—
1159CH
INDIVIDUAL BLUE SHIELD
WA
05
—
8411654
—
WA
01
—
P00150518
RAIL ROAD MEDICARE
WA
Enumeration date
03/29/2006
Last updated
11/19/2012
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