Provider Demographics
NPI:1285815266
Name:YU, DINGFANG (LAC)
Entity type:Individual
Prefix:
First Name:DINGFANG
Middle Name:
Last Name:YU
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2211 EDMONDS AVE NE
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98056-8312
Mailing Address - Country:US
Mailing Address - Phone:425-753-3182
Mailing Address - Fax:425-641-4133
Practice Address - Street 1:15611 BEL RED RD STE A
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98008-2311
Practice Address - Country:US
Practice Address - Phone:425-753-3182
Practice Address - Fax:425-641-4133
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-19
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00003040171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist