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Deactivated NPI 1851899868 Deactivated / Inactive NPI Female Practitioner

Iris Jin Yoo , PA-C

Physician Assistant • Puyallup, WA

✓ Accepts Medicare Assignment
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Iris Yoo has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 24, 2018
NPI Deactivation Date November 20, 2024
Total Practice Duration ~1 Years of Practice (2024 – 2024)

Professional Overview & Biography Verified Profile Summary

Iris Yoo, PA-C was a registered Physician Assistant in Puyallup, WA. Prior to record deactivation on 2024-11-20, Iris Yoo completed approximately 1 years of clinical practice following graduation from University Of Washington School Of Medicine in 2024.

Iris Yoo was affiliated with South Hill Family Medicine Pc and accepted Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

3908 10th St Se

Puyallup, WA 983742188

Telephone 2538485951
Associated Practice Facility / Clinic
🏢 South Hill Family Medicine Pc Facility NPI 1538253331

Medicare Profile & Education

Medical School

University Of Washington School Of Medicine

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Puyallup, WA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -8.2 yrs vs City Avg
City Avg: 10.2 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
88 Specialists

Practicing in Puyallup, WA (3774 Statewide)

Telehealth Adoption Rate
4.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Yoo (2 Years) 2 Yrs
Puyallup Specialty Average (10.2 Years) 10.2 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-02-18
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA61606169

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

South Hill Family Medicine Pc

611 31st Ave Sw, Puyallup, WA 983733723

Phone: 2538485951

South Hill Family Medicine Pc

10004 204th Ave E, Bonney Lake, WA 983916536

Phone: 2538485951

South Hill Family Medicine Pc

11216 Sunrise Blvd E, Puyallup, WA 983748848

Phone: 2538485951

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Don Massey , PA-C

Physician Assistant

NPI 1003873621

Physician Assistant (Certified)

Brandon Swisher , PA-C

Physician Assistant - Surgical

NPI 1013949452

Physician Assistant (Certified)

Dr. Brandi Boden , DO

Family Medicine

NPI 1023676541

Doctor of Osteopathic Medicine (D.O.)

Addie Findley , PA-C

Physician Assistant

NPI 1033279831

Physician Assistant (Certified)

Erin Rothenberg , PA-C

Physician Assistant

NPI 1043081979

Physician Assistant (Certified)

NPI 1053605600

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location February 18, 2025

Registered at 3908 10TH ST SE, PUYALLUP, WA 983742188 (Tel: 2538485951)

📍
Updated Business Mailing Address February 18, 2025

Registered at 3908 10TH ST SE, PUYALLUP, WA 983742188 (Tel: 2538485951)

👤
Provider Name / Credentials Updated February 18, 2025

Recorded as IRIS YOO, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2025

Physician Assistant (License #PA61606169 in WA)

⚠️
NPI Profile Deactivated November 20, 2024

Record deactivated on November 20, 2024

NPI Profile Active January 24, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 24, 2018

Registered at 1010 S L ST STE G, TACOMA, WA 984054366 (Tel: 2532678787)

📍
Updated Business Mailing Address January 24, 2018

Registered at 1010 S L ST STE G, TACOMA, WA 984054366

👤
Provider Name / Credentials Updated January 24, 2018

Recorded as IRIS YOO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2018

Behavior Technician

🟢
Initial NPI Registration & Enumeration January 24, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1851899868
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 24, 2018
Last Update: February 18, 2025
Deactivation Date: November 20, 2024
Sole Proprietor: Yes

Mailing Address

3908 10th St Se

Puyallup, WA 983742188

Phone: 2538485951

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.