Individual
EMILY DY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3925 159TH AVENUE NE, BLD 21, SEATTLE, WA 98121
(425) 215-0000
Mailing address
3925 159TH AVE NE BLDG 21, REDMOND, WA 98052-6309
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
60605790
WA
207Q00000X
Family Medicine Physician
OT014382
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063770196
LIVING WELL HEALTH CENTER
—
Enumeration date
05/03/2011
Last updated
03/30/2021
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