Provider Type Icon

YU LISA SHEN-VASEN M.D. NPI 1396044418


NPI Information

NPI: 1396044418
Provider Name: YU LISA SHEN-VASEN, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Organization: THE EVERETT CLINIC, PLLC

PECOS Registration: Yes

Address:
4420 76TH ST NE
MARYSVILLE, WA
ZIP 98270
Phone: (360) 651-7492
Get Directions

Yu Lisa Shen-vasen, M.D. is a pediatrics in Marysville, WA with 16 years of experience. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Yu Lisa Shen-vasen, M.D. NPI is 1396044418. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year:2008

The provider's business location address is:

4420 76TH ST NE
MARYSVILLE, WA
ZIP 98270-726
Phone: (360) 651-7492

The NPI 1396044418 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/16/2011 and was last updated on 7/25/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsA112686CALIFORNIANo
2208000000XPediatricsMD60221582WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G8934868MEDICARE PINWASHINGTON
22013533MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.