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Individual

DR. ALAN D S CHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1501
Mailing address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1374

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
MD00038633
WA
2085N0700X
Neuroradiology Physician
MD00038633
WA
2085R0202X
Diagnostic Radiology Physician
6071
AK
2085R0202X
Diagnostic Radiology Physician
M-12279
ID
2085R0202X
Diagnostic Radiology Physician
Primary
MD00038633
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0175497
LNI-EVERGREEN RADIA
WA
01
0205686
LNI-SWEDISH RADIA
WA
01
0381078
LNI-SOUTH SOUND
WA
01
0386386
LNI-RADIA-REST OF WA
WA
05
1015963
AK
01
135542
PROV # LABOR & INDUSTRIES
WA
01
135543
PROV # LABOR & INDUSTRIES
WA
01
156861
PROV # LABOR & INDUSTRIES
WA
05
1609863240
ID
05
8256349
WA
Enumeration date
09/29/2005
Last updated
01/07/2019
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