Provider Demographics
NPI:1073865176
Name:BROWN, CHUNYAN (LMP)
Entity Type:Individual
Prefix:
First Name:CHUNYAN
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13902 NE 8TH ST
Mailing Address - Street 2:APT-309
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-3453
Mailing Address - Country:US
Mailing Address - Phone:425-591-2026
Mailing Address - Fax:
Practice Address - Street 1:13902 NE 8TH ST
Practice Address - Street 2:APT-309
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-3427
Practice Address - Country:US
Practice Address - Phone:425-591-2026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-12
Last Update Date:2012-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60306042225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist