Individual
TAYLOR KEIICHI CHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5350 TALLMAN AVE NW STE 500, SEATTLE, WA 98107-5902
(206) 784-8833
(206) 784-0676
Mailing address
2409 N 45TH ST, SEATTLE, WA 98103-6907
(206) 633-8100
(206) 633-6107
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA61407244
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2257812
—
WA
Enumeration date
08/31/2021
Last updated
09/25/2023
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