Provider Demographics
NPI:1699154013
Name:YANG, ESTER ANNE (PA-C)
Entity type:Individual
Prefix:
First Name:ESTER
Middle Name:ANNE
Last Name:YANG
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ESTER
Other - Middle Name:ANNE
Other - Last Name:KIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11800 NE 128TH ST
Mailing Address - Street 2:MS:A-ME
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-7208
Mailing Address - Country:US
Mailing Address - Phone:425-821-8004
Mailing Address - Fax:425-820-9860
Practice Address - Street 1:11800 NE 128TH ST
Practice Address - Street 2:MS:A-ME
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-7208
Practice Address - Country:US
Practice Address - Phone:425-821-8004
Practice Address - Fax:425-820-9860
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-19
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
WAPA60742553363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program