Healthcare Provider Details

I. General information

NPI: 1275357295
Provider Name (Legal Business Name): NORTHWEST CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2024
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2417 170TH PL SE
BELLEVUE WA
98008-5518
US

IV. Provider business mailing address

2417 170TH PL SE
BELLEVUE WA
98008-5518
US

V. Phone/Fax

Practice location:
  • Phone: 425-628-0646
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: YANSU CHEN
Title or Position: ARNP
Credential: ARNP
Phone: 425-628-0646