Provider Demographics
NPI:1972661353
Name:CHEN, LI P (DC)
Entity Type:Individual
Prefix:DR
First Name:LI
Middle Name:P
Last Name:CHEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:221-D NE 104T AVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98664
Mailing Address - Country:US
Mailing Address - Phone:360-737-9665
Mailing Address - Fax:360-737-9634
Practice Address - Street 1:221-D NE 104TH AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98664
Practice Address - Country:US
Practice Address - Phone:360-737-9665
Practice Address - Fax:360-737-9634
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH34303111N00000X
WACH00034303111N00000X
OR273103111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor