Organization
CQHB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONG YU MD (PRESIDENT)
(503) 372-2740
Entity
Organization
Contact information
Practice address
747 BROADWAY, SEATTLE, WA 98122-4379
(206) 386-6000
Mailing address
PO BOX 34940, SEATTLE, WA 98124-1940
(503) 372-2740
(503) 372-2754
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00041359
WA
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD00041359
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1118181
—
WA
Enumeration date
05/19/2006
Last updated
11/20/2007
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