Provider Demographics
NPI:1891128633
Name:CHIEM, QUYEN (PHARMD)
Entity Type:Individual
Prefix:
First Name:QUYEN
Middle Name:
Last Name:CHIEM
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:KATY
Other - Middle Name:NGOC
Other - Last Name:CHIEM - HULTEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARM D
Mailing Address - Street 1:3815 S OTHELLO ST FL 2
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-3510
Mailing Address - Country:US
Mailing Address - Phone:206-788-3563
Mailing Address - Fax:206-788-3692
Practice Address - Street 1:3815 S OTHELLO ST FL 2
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98118-3510
Practice Address - Country:US
Practice Address - Phone:206-788-3563
Practice Address - Fax:206-788-3692
Is Sole Proprietor?:No
Enumeration Date:2013-08-15
Last Update Date:2013-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH 60089235183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist