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NPI Code Detail

MEDICARE: JIANLING CHEN

MEDICARE: JIANLING CHEN
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
1225700000XMassage Therapist61015670WA

General Provider Information

NPI Number : 1578248597
Entity Type Code : Individual
Provider Name (Legal Business Name) : JIANLING CHEN
Provider Business Mailing Address
First Line : 240 NW GILMAN BLVD
Second Line :
City : ISSAQUAH
State : WA
Zip : 98027-2418
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 240 NW GILMAN BLVD
Second Line :
City : ISSAQUAH
State : WA
Zip : 98027-2418
Country : US
Telephone Number : 971-500-4448
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2023
Last Update Date : 06/19/2023

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Directions to “ JIANLING CHEN ” Practice Location

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