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Organization
CCM SPECIALTY CARE LLC
Active
Organization
CCM SPECIALTY CARE LLC
Active
Parent organization
CCM SPECIALTY CARE LLC
Other names
CCM Adolescent Medicine and Psychiatry
Organization subpart
Yes
Provider details
NPI number
Legal business name
CCM SPECIALTY CARE LLC
Authorized official
DR. CHRISTOPHER CHENG (MEDICAL DIRECTOR)
(425) 276-1825
Entity
Organization
Contact information
Practice address
1940 116TH AVE NE STE 200B, BELLEVUE, WA 98004-3097
(425) 276-1825
(855) 785-8770
Mailing address
710 S 348TH ST STE B, FEDERAL WAY, WA 98003-7042
(425) 276-1825
(855) 785-8770
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
NULL
103G00000X
Clinical Neuropsychologist
—
—
133NN1002X
Nutrition Education Nutritionist
—
NULL
133NN1002X
Nutrition Education Nutritionist
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
NULL
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
2080B0002X
Pediatric Obesity Medicine Physician
—
NULL
2080B0002X
Pediatric Obesity Medicine Physician
—
—
2080C0008X
Child Abuse Pediatrics Physician
—
NULL
2080C0008X
Child Abuse Pediatrics Physician
—
—
2080P1004X
Physician Nutrition Specialist (Pediatrics)
—
NULL
2080P1004X
Physician Nutrition Specialist (Pediatrics)
—
—
Other
Enumeration date
05/26/2025
Last updated
09/14/2026
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