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Individual

MR. PETER YU CHANG PENG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
601 BROADWAY FL 7, SEATTLE, WA 98122-5330
(206) 386-2600
(206) 622-1644
Mailing address
601 BROADWAY FL 7, SEATTLE, WA 98122-5330
(206) 386-2600
(206) 622-1644

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA60368956
WA
363AS0400X
Surgical Physician Assistant
Primary
PA60368956
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA60368956
LICENSE
WA
Enumeration date
05/31/2013
Last updated
05/19/2025
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