Individual
RYAN CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6374
Mailing address
PO BOX 741515, LOS ANGELES, CA 90074-1515
(206) 223-6374
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA61499669
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/03/2022
Last updated
04/16/2024
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