Provider Demographics
NPI:1376938506
Name:SOUTH SOUND ONCOLOGY SERVICES, P.C.
Entity Type:Organization
Organization Name:SOUTH SOUND ONCOLOGY SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NAIXI
Authorized Official - Middle Name:NICK
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:206-588-1722
Mailing Address - Street 1:PO BOX 66596
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98166-0596
Mailing Address - Country:US
Mailing Address - Phone:206-588-1722
Mailing Address - Fax:253-277-8413
Practice Address - Street 1:1412 SW 43RD ST STE 200
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-4803
Practice Address - Country:US
Practice Address - Phone:206-588-1722
Practice Address - Fax:253-277-8413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-04
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207RH0003X
WAMD00040607261QX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty
No261QX0200XAmbulatory Health Care FacilitiesClinic/CenterOncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAH63270Medicare UPIN
WAMD00040607OtherWASHINGTON STATE MEDICAL LICENSE
WA1265490312OtherNPI