Healthcare Provider Details

I. General information

NPI: 1053569517
Provider Name (Legal Business Name): HSIN KAI ALEN CHEN PHARM D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2008
Last Update Date: 07/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2324 EASTLAKE AVE E STE 400
SEATTLE WA
98102
US

IV. Provider business mailing address

1533 30TH AVE
SEATTLE WA
98122-3213
US

V. Phone/Fax

Practice location:
  • Phone: 206-838-4590
  • Fax:
Mailing address:
  • Phone: 206-568-7279
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH00070246
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: