Provider Demographics
NPI:1316976210
Name:BAQUERO-YOUNG, PILAR (MD)
Entity type:Individual
Prefix:DR
First Name:PILAR
Middle Name:
Last Name:BAQUERO-YOUNG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:PILAR
Other - Middle Name:
Other - Last Name:BAQUERO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 25608
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84125-0608
Mailing Address - Country:US
Mailing Address - Phone:206-320-4476
Mailing Address - Fax:206-568-7043
Practice Address - Street 1:751 NE BLAKELY DR STE 2030
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98029-6201
Practice Address - Country:US
Practice Address - Phone:425-313-7089
Practice Address - Fax:425-313-7174
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60603343207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology