Healthcare Provider Details

I. General information

NPI: 1457733461
Provider Name (Legal Business Name): HANG CHAU-GLENDINNING DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2015
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 NIEDERMAN RD
OAKVILLE WA
98568-8904
US

IV. Provider business mailing address

21 NIEDERMAN RD
OAKVILLE WA
98568-8904
US

V. Phone/Fax

Practice location:
  • Phone: 206-617-7713
  • Fax: 425-656-5099
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOP60770681
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: