Doctor Name: | JIANFENG CHENG |
NPI Number: | 1649419698 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD, PH.D |
License Number: | 0116021196 |
Business Practice Address: | 3927 Rucker Ave Everett, WA - 982014833 |
Business Phone Number: | 4252591182 |
Business Fax Number: | 4253173975 |
Mailing Address: | Po Box 5127, EVERETT |
State: | WA |
Postal Code: | 982065127 |
Phone Number: | 4252583900 |
Fax Number: | 4252583910 |
NPI Enumeration Date: | 02/16/2009 |
NPI Last Update Date: | 07/31/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 0116021196 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |