Provider Demographics
NPI:1760955876
Name:CHEN, FENGLING (AEMP, LAC)
Entity Type:Individual
Prefix:
First Name:FENGLING
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:AEMP, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4633 141ST CT SE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98006-3054
Mailing Address - Country:US
Mailing Address - Phone:408-493-0608
Mailing Address - Fax:
Practice Address - Street 1:410 BELLEVUE WAY SE STE 304
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-6649
Practice Address - Country:US
Practice Address - Phone:408-493-0608
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-10
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18281171100000X
WA61181491171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist