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1497715791

NPI Code Detail

MEDICARE: YEN S CHEN MD

MEDICARE: YEN S CHEN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	MD042891L	PA
2	207R00000X	Internal Medicine Physician	MD60187269	WA
3	207RG0100X	Gastroenterology Physician	MD60187269	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497715791
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YEN S CHEN MD

Provider Business Mailing Address
First Line	:	9801 FRONTIER AVE SE
Second Line	:
City	:	SNOQUALMIE
State	:	WA
Zip	:	98065-5200
Country	:	US
Telephone Number	:	425-831-2321
Fax Number	:

Provider Business Practice Location Address
First Line	:	9801 FRONTIER AVE SE
Second Line	:
City	:	SNOQUALMIE
State	:	WA
Zip	:	98065-5200
Country	:	US
Telephone Number	:	425-831-2321
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2006
Last Update Date	:	07/14/2016

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Directions to “ YEN S CHEN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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