Healthcare Provider Details

I. General information

NPI: 1598894412
Provider Name (Legal Business Name): TARA L CHEN PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY OF WASHINGTON MEDICAL CTR 1959 NE PACIFIC BOX 356015
SEATTLE WA
98195-0001
US

IV. Provider business mailing address

1215 DEXTER AVE N APT 620
SEATTLE WA
98109-3532
US

V. Phone/Fax

Practice location:
  • Phone: 206-598-6060
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License NumberPH00067206
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: