Provider Demographics
NPI:1487900833
Name:HSU, CHARLIE CHUN (VMD, PHD)
Entity type:Individual
Prefix:DR
First Name:CHARLIE
Middle Name:CHUN
Last Name:HSU
Suffix:
Gender:M
Credentials:VMD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1959 NE PACIFIC ST
Mailing Address - Street 2:BOX 357190, HEALTH SCIENCES CENTER
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-7190
Mailing Address - Country:US
Mailing Address - Phone:206-543-0474
Mailing Address - Fax:206-685-3006
Practice Address - Street 1:1959 NE PACIFIC ST
Practice Address - Street 2:BOX 357190, HEALTH SCIENCES CENTER
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-7190
Practice Address - Country:US
Practice Address - Phone:206-543-0474
Practice Address - Fax:206-685-3006
Is Sole Proprietor?:No
Enumeration Date:2012-08-02
Last Update Date:2012-08-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAVT60281917174M00000X, 174MM1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian
No174MM1900XOther Service ProvidersVeterinarianMedical Research