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Individual

TINA LIU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
500 17TH AVE STE 540, SEATTLE, WA 98122-5711
(206) 386-3880
(206) 386-3882
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
61667686
WA
2084N0400X
Neurology Physician
Primary
MD61667686
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2350980
WA
Enumeration date
03/29/2020
Last updated
02/24/2026
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