Basic Information
| Provider Information | |||||||||
| NPI: | 1265963235 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | FU | ||||||||
| FirstName: | EUNICE | ||||||||
| MiddleName: | ANDREA | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 331 NE THORNTON PL | ||||||||
| Address2: | UW BOX 358732 | ||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981258021 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2065202405 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1401 MADISON ST STE 100 | ||||||||
| Address2: | |||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981041316 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2063866111 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/22/2017 | ||||||||
| LastUpdateDate: | 07/28/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/28/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MD.MD.61065227 | WA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.