Provider Demographics
NPI:1447589916
Name:CHAN-GOH, SAU MUI (ARNP)
Entity Type:Individual
Prefix:
First Name:SAU MUI
Middle Name:
Last Name:CHAN-GOH
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:MUI
Other - Middle Name:
Other - Last Name:CHAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ARNP
Mailing Address - Street 1:UNIVERSITY OF WASHINGTON
Mailing Address - Street 2:1959 NE PACIFIC STREET. BOX 356097
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-6097
Mailing Address - Country:US
Mailing Address - Phone:206-598-6950
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF WASHINGTON
Practice Address - Street 2:1959 NE PACIFIC STREET. BOX 356097
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-6097
Practice Address - Country:US
Practice Address - Phone:206-598-6950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-13
Last Update Date:2012-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60112311363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily