Provider Demographics
NPI:1932257334
Name:CHEN, TELI (L AC)
Entity Type:Individual
Prefix:MRS
First Name:TELI
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13820 SE 62ND ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98006-4805
Mailing Address - Country:US
Mailing Address - Phone:206-818-8012
Mailing Address - Fax:425-373-9030
Practice Address - Street 1:1530 BELLEVUE WAY SE STE C
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-7110
Practice Address - Country:US
Practice Address - Phone:206-818-8012
Practice Address - Fax:425-373-9030
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00001818171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist