Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Changho Yi, MD

Individual provider Interventional Pain Medicine Physician · NPI 1619618998

Changho Yi, MD is a Pain Management in Lakewood, Washington. Qualified in 2007, 19 years ago. Licensed in Washington.

Years since qualifying
19
Licensed in
WA
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11306 Bridgeport Way SW Ste D
Lakewood, WA 98499-3037
Phone: (253) 983-9390
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence MD61616683 (WA)

Record details

NPI number1619618998
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2022
Last updated in NPPESMarch 19, 2026
Certification dateMarch 19, 2026
Mailing address4029 Northwest Ave Ste 301, Bellingham, WA 98226-9077

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPAIN MANAGEMENT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Not indicated

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