Provider Demographics
NPI:1871629717
Name:TSE, VICTOR CK (MD PHD)
Entity Type:Individual
Prefix:PROF
First Name:VICTOR
Middle Name:CK
Last Name:TSE
Suffix:
Gender:M
Credentials:MD PHD
Other - Prefix:
Other - First Name:CHUN-KEE
Other - Middle Name:VICTOR
Other - Last Name:TSE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD PHD
Mailing Address - Street 1:1150 VETERANS BLVD
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063-2037
Mailing Address - Country:US
Mailing Address - Phone:206-320-2800
Mailing Address - Fax:206-320-2827
Practice Address - Street 1:550 17TH AVE
Practice Address - Street 2:5TH FLOOR
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-5788
Practice Address - Country:US
Practice Address - Phone:206-320-2800
Practice Address - Fax:206-320-2827
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00049012207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8878074Medicare PIN