Individual provider · Type 1 NPI

Shi Chian Khor, PA

Surgical Physician Assistant · Tacoma, WA

NPI number 1003191065 Active

Practice location

315 Martin Luther King Jr Way
Tacoma, WA 98405-4234

Fax (253) 403-4576

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA60647532 (WA)
Medical Physician Assistant 363AM0700XPA60647532 (WA)
Surgical Physician Assistant Primary 363AS0400XPA60647532 (WA)
Surgical Physician Assistant 363AS0400X014405 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1003191065

Shi Chian Khor, PA's National Provider Identifier is 1003191065, issued on Oct 20, 2011. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Tacoma, WA. The record was last updated on Nov 30, 2016.