Healthcare Provider Details

I. General information

NPI: 1952715435
Provider Name (Legal Business Name): JOSEPH CHEN LAI DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2014
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1909 214TH ST SE STE 100
BOTHELL WA
98021-4412
US

IV. Provider business mailing address

1909 214TH ST SE STE 100
BOTHELL WA
98021-4412
US

V. Phone/Fax

Practice location:
  • Phone: 425-488-4988
  • Fax:
Mailing address:
  • Phone: 425-488-4988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2022-01887
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOP70047943
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: