Provider Demographics
NPI:1437294337
Name:CHOW, PENNY MICHELLE SCHUBERT (MS)
Entity Type:Individual
Prefix:MRS
First Name:PENNY
Middle Name:MICHELLE SCHUBERT
Last Name:CHOW
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:PENNY
Other - Middle Name:MICHELLE
Other - Last Name:SCHUBERT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS
Mailing Address - Street 1:3523 NE 192ND PL
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST PARK
Mailing Address - State:WA
Mailing Address - Zip Code:98155-2627
Mailing Address - Country:US
Mailing Address - Phone:206-679-7749
Mailing Address - Fax:
Practice Address - Street 1:4800 SAND POINT WAY NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-3901
Practice Address - Country:US
Practice Address - Phone:206-987-3707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS