Provider Demographics
NPI:1003958679
Name:CHIN, DONALD (LMP)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:
Last Name:CHIN
Suffix:
Gender:M
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2220 S 288TH ST
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-3334
Mailing Address - Country:US
Mailing Address - Phone:206-518-2563
Mailing Address - Fax:
Practice Address - Street 1:2220 S 288TH ST
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-3334
Practice Address - Country:US
Practice Address - Phone:206-518-2563
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2008-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00022102225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0206221OtherDEPT. OF L& I
WA612017600OtherDOL FECA (OWCP)