Individual
SHANNON CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
15808 MILL CREEK BLVD STE 110, MILL CREEK, WA 98012-1500
(425) 745-5650
Mailing address
15808 MILL CREEK BLVD STE 110, MILL CREEK, WA 98012-1500
(425) 745-5650
(425) 337-1342
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD61651235
WA
Other
Enumeration date
11/04/2024
Last updated
08/12/2025
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