Provider Demographics
NPI:1265886659
Name:YEH, JAQUELYN ROHUI (MD)
Entity type:Individual
Prefix:DR
First Name:JAQUELYN
Middle Name:ROHUI
Last Name:YEH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 50095
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98145-5095
Mailing Address - Country:US
Mailing Address - Phone:206-520-5700
Mailing Address - Fax:
Practice Address - Street 1:535 S OXFORD VALLEY RD
Practice Address - Street 2:
Practice Address - City:FAIRLESS HILLS
Practice Address - State:PA
Practice Address - Zip Code:19030-2612
Practice Address - Country:US
Practice Address - Phone:215-949-3100
Practice Address - Fax:215-949-9965
Is Sole Proprietor?:No
Enumeration Date:2016-04-21
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101270277207Q00000X
WAMD60934479207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1265886659Medicaid