Individual
MICHAEL IKEDA-CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 13TH ST, EVERETT, WA 98201-1689
(252) 612-0004
Mailing address
13000 ADMIRALTY WAY APT K202, EVERETT, WA 98204-6274
(662) 832-0276
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
60717548
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP61485496
WA
Other
Enumeration date
07/31/2023
Last updated
09/17/2023
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