Basic Information
| Provider Information | |||||||||
| NPI: | 1811913528 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CHEN | ||||||||
| FirstName: | MIN-CHUN | ||||||||
| MiddleName: | |||||||||
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| Credential: | M.D. | ||||||||
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| OtherLastName: | CHEN | ||||||||
| OtherFirstName: | CHRIS | ||||||||
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| OtherLastNameType: | 5 | ||||||||
| Mailing Information | |||||||||
| Address1: | 1003 S 5TH ST | ||||||||
| Address2: | STE 3L | ||||||||
| City: | TACOMA | ||||||||
| State: | WA | ||||||||
| PostalCode: | 984054210 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2534031677 | ||||||||
| FaxNumber: | 2534031676 | ||||||||
| Practice Location | |||||||||
| Address1: | 1003 S 5TH ST | ||||||||
| Address2: | STE 3L | ||||||||
| City: | TACOMA | ||||||||
| State: | WA | ||||||||
| PostalCode: | 984054210 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2534031677 | ||||||||
| FaxNumber: | 2534031676 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/14/2006 | ||||||||
| LastUpdateDate: | 04/10/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RH0003X | MD00030076 | WA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology | 207R00000X | MD00030076 | WA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RH0000X | MD00030076 | WA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology | 207RX0202X | MD00030076 | WA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Medical Oncology |
No ID Information.