Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | A80130 | CA |
Y | 207Q00000X | Family Doctor | MD60361317 | WA |
N | 207QS0010X | Family Doctor - Sports Medicine | MD60361317W | WA |
NPI | 1174553184 |
---|---|
Provider Name | Julie Chuan |
First Address | Seattle, WA 98124 |
Second Address | Bellevue, WA 98004 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/07/2006 |
Last Update Date | 27/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1598703647 | CCS PANELED (01) | CA |
2029414 | (05) | WA |
I5440 | (02) | CA |