Provider Demographics
NPI:1639176902
Name:CHEN, GRACE CHIA-HUA (PA-C)
Entity Type:Individual
Prefix:MS
First Name:GRACE
Middle Name:CHIA-HUA
Last Name:CHEN
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:550 17TH AVE
Mailing Address - Street 2:SUITE 540
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-5788
Mailing Address - Country:US
Mailing Address - Phone:206-320-2300
Mailing Address - Fax:206-320-8149
Practice Address - Street 1:6808 220TH ST SW
Practice Address - Street 2:SUITE 201
Practice Address - City:MOUNTLAKE TERRACE
Practice Address - State:WA
Practice Address - Zip Code:98043-2187
Practice Address - Country:US
Practice Address - Phone:425-640-6976
Practice Address - Fax:425-640-6977
Is Sole Proprietor?:No
Enumeration Date:2005-07-01
Last Update Date:2016-10-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO1761363A00000X
CA18671363A00000X
WAPA10004656363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant