Basic Information
| Provider Information | |||||||||
| NPI: | 1275997728 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LEE | ||||||||
| FirstName: | PATRICK | ||||||||
| MiddleName: | CHENG-ANN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1823 MINOR AVE APT 2609 | ||||||||
| Address2: | |||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981010930 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9099130576 | ||||||||
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| Practice Location | |||||||||
| Address1: | 21601 76TH AVE W | ||||||||
| Address2: | |||||||||
| City: | EDMONDS | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980267507 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4256404000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/11/2016 | ||||||||
| LastUpdateDate: | 02/15/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/15/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | DO198470 | OR | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | 125.068363 | IL | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | DO.OP.61149373 | WA | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.