Individual
CATHY CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1415 E KINCAID ST, MOUNT VERNON, WA 98274-4126
(360) 428-2550
(360) 428-6402
Mailing address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
PA6101802
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2112665
—
WA
Enumeration date
10/16/2018
Last updated
10/20/2021
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