Doctor Name: | AMOS CHIEN-CHUN CHEN |
NPI Number: | 1245526946 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ARNP |
License Number: | AP60228994 |
Business Practice Address: | 7520 Totem Beach Rd Tulalip, WA - 982716160 |
Business Phone Number: | 3607164511 |
Business Fax Number: | |
Mailing Address: | 7520 Totem Beach Rd, TULALIP |
State: | WA |
Postal Code: | 982716160 |
Phone Number: | 3607164511 |
Fax Number: | |
NPI Enumeration Date: | 06/22/2011 |
NPI Last Update Date: | 02/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP60228994 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |