Most Relevant Information
Provider Data
| NPI Number: | 1003447541 |
| Provider Name: | KAIWEN TAN |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/03/2020 |
| Last Updated: | 02/03/2020 |
Provider Practice Location
3639 MLK JR WAY S
SEATTLE
WA
981446847
Practice Location Phone/Fax
| Phone: | 2066957600 |
| Fax: | 2066957606 |
Provider Mailing Location
3639 MLK JR WAY S
SEATTLE
WA
981446847
Provider Mailing Phone/Fax
| Phone: | 2066957600 |
| Fax: | 2066957606 |