Provider Demographics
NPI:1568043099
Name:KO, SHU-HSIN
Entity Type:Individual
Prefix:
First Name:SHU-HSIN
Middle Name:
Last Name:KO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1270 CHUCKANUT CREST DR
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98229-6914
Mailing Address - Country:US
Mailing Address - Phone:360-220-2999
Mailing Address - Fax:360-967-5260
Practice Address - Street 1:1270 CHUCKANUT CREST DR
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98229-6914
Practice Address - Country:US
Practice Address - Phone:360-220-2999
Practice Address - Fax:360-967-5260
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-16
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter