Individual
MR. SHI CHIAN KHOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-7537
(253) 403-4576
Mailing address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA60647532
WA
363AM0700X
Medical Physician Assistant
PA60647532
WA
363AS0400X
Surgical Physician Assistant
014405
NY
363AS0400X
Surgical Physician Assistant
Primary
PA60647532
WA
Other
Enumeration date
10/20/2011
Last updated
11/30/2016
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