Individual
DR. ALFRED H CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6323 111TH ST SW, LAKEWOOD, WA 98499-1303
(253) 445-6613
(253) 582-9172
Mailing address
6323 111TH ST SW, LAKEWOOD, WA 98499-1303
(253) 445-6613
(253) 582-9172
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD00019718
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1105063
—
WA
01
—
91836
LABOR & INDUSTRIES ID NUM
WA
01
—
CH5285
REGENCE ID NUMBER
WA
Enumeration date
06/30/2006
Last updated
07/09/2007
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