| Mount Rainier Neurology Clinic And Diagnostic Center Ps | |
|
1708 So. Yakima Ave Ste118 Tacoma WA 98405-5307 | |
| (253) 573-0460 | |
| (253) 573-0461 |
| Full Name | Mount Rainier Neurology Clinic And Diagnostic Center Ps |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1708 So. Yakima Ave, Tacoma, Washington |
| Authorized Official Name and Position | Keyi Yang (PRESIDENT) |
| Authorized Official Contact | 2535730460 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mount Rainier Neurology Clinic And Diagnostic Center Ps 4426 Paradise W Ave University Place WA 98466-1024 Ph: (253) 565-3887 | Mount Rainier Neurology Clinic And Diagnostic Center Ps 1708 So. Yakima Ave Ste118 Tacoma WA 98405-5307 Ph: (253) 573-0460 |
| NPI Number | 1467505172 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 09/09/2015 |
| Medicare PECOS PAC ID | 0547261711 |
|---|---|
| Medicare Enrollment ID | O20070131000216 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467505172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Keyi Yang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831177922 PECOS PAC ID: 7315851383 Enrollment ID: I20031113000814 |
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