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NPI Code Detail

MEDICARE: MARK T. CHEN, DO PC

MEDICARE: MARK T. CHEN, DO PC
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
1207L00000XAnesthesiology PhysicianOP00001215WA
2207LP2900XPain Medicine (Anesthesiology) PhysicianOP00001215WA

Other Identifiers

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

General Provider Information

NPI Number : 1780637660
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARK T. CHEN, DO PC
Provider Business Mailing Address
First Line : PO BOX 34940
Second Line :
City : SEATTLE
State : WA
Zip : 98124-1940
Country : US
Telephone Number : 503-372-2740
Fax Number : 503-372-2754
Provider Business Practice Location Address
First Line : 1096 GOETHALS DR
Second Line :
City : RICHLAND
State : WA
Zip : 99352-3303
Country : US
Telephone Number : 509-943-9700
Fax Number :
Authorized Official
Title or Position : SOLE PROPRIETOR
Name : MARK T. CHEN
Credential : DO
Telephone Number : 503-372-2740
Provider Enumeration Date : 05/19/2006
Last Update Date : 09/11/2025

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