Doctor Name: | SUSAN LIAM |
NPI Number: | 1326310889 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | MA00018510 |
Business Practice Address: | 3346 S 283rd Ln Auburn, WA - 980011130 |
Business Phone Number: | 2063722924 |
Business Fax Number: | |
Mailing Address: | 596 Industry Dr Bldg 8, Suite 270 TUKWILA |
State: | WA |
Postal Code: | 981883404 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/30/2012 |
NPI Last Update Date: | 01/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MA00018510 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |