MEDICARE: DR. IAN YEN CH'EN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	MD00033869	WA
2	2085R0202X	Diagnostic Radiology Physician	A00052836	CA
3	2085R0202X	Diagnostic Radiology Physician	M-12434	ID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	220415	OTHER	WA	LNI PROVIDER ID
3	220412	OTHER	WA	LNI PROVIDER ID

General Provider Information

NPI Number	:	1174527121
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. IAN YEN CH'EN MD

Provider Business Mailing Address
First Line	:	19020 33RD AVE W STE 210
Second Line	:
City	:	LYNNWOOD
State	:	WA
Zip	:	98036-4748
Country	:	US
Telephone Number	:	425-563-1500
Fax Number	:	425-563-1374

Provider Business Practice Location Address
First Line	:	19020 33RD AVE W STE 210
Second Line	:
City	:	LYNNWOOD
State	:	WA
Zip	:	98036
Country	:	US
Telephone Number	:	425-563-1500
Fax Number	:	425-563-1501

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2005
Last Update Date	:	03/05/2026

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Directions to “ DR. IAN YEN CH'EN MD” Practice Location

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