Provider Demographics
NPI:1154412146
Name:YAMAKI, ESTELLE I (MD)
Entity type:Individual
Prefix:
First Name:ESTELLE
Middle Name:I
Last Name:YAMAKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2319 SW 320TH ST
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98023-2514
Mailing Address - Country:US
Mailing Address - Phone:253-838-8733
Mailing Address - Fax:253-927-6911
Practice Address - Street 1:2319 SW 320TH ST
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98023-2514
Practice Address - Country:US
Practice Address - Phone:253-838-8733
Practice Address - Fax:253-927-6911
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA025209MD00021801207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A06116Medicare UPIN