Provider Demographics
NPI:1164412813
Name:YUEN, AMY LAWSON (MD PHD)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:LAWSON
Last Name:YUEN
Suffix:
Gender:F
Credentials:MD PHD
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:L
Other - Last Name:YUEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD PHD
Mailing Address - Street 1:201 16TH AVE E
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98112-5226
Mailing Address - Country:US
Mailing Address - Phone:208-326-2525
Mailing Address - Fax:
Practice Address - Street 1:201 16TH AVE E
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-5226
Practice Address - Country:US
Practice Address - Phone:206-326-2525
Practice Address - Fax:206-326-4945
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA220741208000000X
WAMD00048354208000000X, 207SG0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)