=====================================================
General NPI Number Information
=====================================================
NPI Number | 1689446874
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | EMMILINE CHOU PAC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/23/2023
-----------------------------------------------------
Last Update Date | 08/18/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6002 WESTGATE BLVD STE 230
-----------------------------------------------------
City | TACOMA
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98406-2572
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 253-272-8664
-----------------------------------------------------
Fax | 253-627-7880
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6002 WESTGATE BLVD STE 230
-----------------------------------------------------
City | TACOMA
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98406-2572
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 253-272-8664
-----------------------------------------------------
Fax | 253-627-7880
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363A00000X
-----------------------------------------------------
Taxonomy Name | Physician Assistant
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363AM0700X
-----------------------------------------------------
Taxonomy Name | Medical Physician Assistant
-----------------------------------------------------
License Number | PA61646026
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------