Individual
JENNIFER R CHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 520-5307
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD60111728
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0254614
L&I
WA
05
—
1902002736
—
WA
Enumeration date
06/27/2007
Last updated
03/20/2013
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