Individual
MASON CHIANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 543-6100
Mailing address
1912 N 47TH ST, SEATTLE, WA 98103-6816
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
IR60592023
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IR60592023
WA STATE DEPT OF HEALTH
WA
Enumeration date
11/14/2016
Last updated
11/14/2016
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