Healthcare Provider Details

I. General information

NPI: 1578524443
Provider Name (Legal Business Name): EMILY H CHENG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2006
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 OLYMPIC BLVD
EVERETT WA
98203-1918
US

IV. Provider business mailing address

220 OLYMPIC BLVD
EVERETT WA
98203-1918
US

V. Phone/Fax

Practice location:
  • Phone: 425-683-0545
  • Fax: 206-277-1006
Mailing address:
  • Phone: 425-683-0545
  • Fax: 206-277-1006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License NumberMD065690L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD60516173
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: