Provider Demographics
NPI:1245526946
Name:CHEN, AMOS CHIEN-CHUN (ARNP)
Entity type:Individual
Prefix:
First Name:AMOS
Middle Name:CHIEN-CHUN
Last Name:CHEN
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2429
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:WA
Mailing Address - Zip Code:98632-8486
Mailing Address - Country:US
Mailing Address - Phone:206-721-5170
Mailing Address - Fax:206-721-6288
Practice Address - Street 1:6450 SOUTHCENTER BLVD STE 102
Practice Address - Street 2:
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98188-2552
Practice Address - Country:US
Practice Address - Phone:206-466-5410
Practice Address - Fax:206-721-1287
Is Sole Proprietor?:No
Enumeration Date:2011-06-22
Last Update Date:2019-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60228994363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily