MEDICARE: MICHAEL K CHINN 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	207V00000X	Obstetrics & Gynecology Physician	MD 9544	HI
2	207V00000X	Obstetrics & Gynecology Physician	MD60936474	WA

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

General Provider Information

NPI Number	:	1336111814
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL K CHINN MD

Provider Business Mailing Address
First Line	:	1608 S J ST
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98405-4930
Country	:	US
Telephone Number	:	253-274-7501
Fax Number	:

Provider Business Practice Location Address
First Line	:	1608 S J ST FL 1
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98405-4930
Country	:	US
Telephone Number	:	253-274-7501
Fax Number	:	253-274-7991

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

Provider Enumeration Date	:	02/07/2006
Last Update Date	:	09/17/2025

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