Individual
TIMOTHY T CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1100 GOETHALS DR, KADLEC INLAND CARDIOLOGY, RICHLAND, WA 99352-3304
(509) 946-2699
(509) 946-2675
Mailing address
3900 S ZINTEL WAY, KENNEWICK, WA 99338
(509) 942-3627
(509) 942-2268
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
D015794
OR
207RC0000X
Cardiovascular Disease Physician
Primary
OP00001085
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009287
—
OR
05
—
1679509616
—
WA
01
—
312200
L&I
WA
01
—
P060040166
MEDICARE RR
WA
Enumeration date
06/23/2006
Last updated
11/27/2013
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