Individual
TAI CHINNOCK MANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
11511 NE 10TH ST, BELLEVUE, WA 98004-8578
(425) 502-3000
(844) 620-1839
Mailing address
325 9TH AVE, SEATTLE, WA 98104-2499
(541) 965-2078
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61205830
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2191169
—
WA
Enumeration date
03/28/2020
Last updated
10/04/2025
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