Provider Demographics
NPI:1962134155
Name:HSIEH, PEI-CHEN (MS)
Entity type:Individual
Prefix:
First Name:PEI-CHEN
Middle Name:
Last Name:HSIEH
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1221 MADISON ST STE 500
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-1388
Mailing Address - Country:US
Mailing Address - Phone:206-386-2552
Mailing Address - Fax:206-215-3959
Practice Address - Street 1:1221 MADISON ST STE 500
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-1388
Practice Address - Country:US
Practice Address - Phone:206-386-2552
Practice Address - Fax:206-215-3959
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-27
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAGP61330833170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2220002Medicaid