Healthcare Provider Details

I. General information

NPI: 1609662501
Provider Name (Legal Business Name): SOKCHEA KHANN RRT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2025
Last Update Date: 04/17/2025
Certification Date: 04/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1550 N 115TH ST
SEATTLE WA
98133-8401
US

IV. Provider business mailing address

6924 129TH ST SE
SNOHOMISH WA
98296-6938
US

V. Phone/Fax

Practice location:
  • Phone: 877-694-4677
  • Fax:
Mailing address:
  • Phone: 206-650-0211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2279C0205X
TaxonomyCritical Care Registered Respiratory Therapist
License NumberLR60030932
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: