Healthcare Provider Details

I. General information

NPI: 1407544273
Provider Name (Legal Business Name): SZ HAN CHEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2023
Last Update Date: 04/11/2025
Certification Date: 04/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10002 SE 240TH ST
KENT WA
98031-4839
US

IV. Provider business mailing address

251 SOUTHCENTER MALL
TUKWILA WA
98188-2834
US

V. Phone/Fax

Practice location:
  • Phone: 253-852-2020
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberOD61434697
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOD61434697
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: