NPI Code Detail JSON Logo

1679070080 NPI number — MICHAEL CHEN DO

NPI Number: 1679070080
Health Care Provider/Practitioner: MICHAEL CHEN DO

Information about “1679070080” NPI (MICHAEL CHEN DO) exists in 1679070080 in HTML format HTML  |  1679070080 in plain Text format TXT  |  1679070080 in PDF (Portable Document Format) PDF  |  1679070080 in an XML format XML  formats.

NPI Number : 1679070080 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679070080",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CHEN",
    "FirstName": "MICHAEL",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DO",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1728 W MARINE VIEW DR STE 110",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "EVERETT",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98201-2094",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "425-259-4041",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "12728 19TH AVE SE STE 200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "EVERETT",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98208-6676",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "425-225-2700",
    "PracticeLocationAddressFaxNumber": "425-225-2790",
    "EnumerationDate": "04/11/2018",
    "LastUpdateDate": "10/22/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "208M00000X",
          "TaxonomyName": "Hospitalist Physician",
          "LicenseNumber": "OP61161603",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "OP61161603",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RC0000X",
          "TaxonomyName": "Cardiovascular Disease Physician",
          "LicenseNumber": "OP61161603",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "DO213361",
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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