Individual ProviderEbou M ChamNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1100 9th Ave, Seattle, WA 98101-2756(206) 223-6980PECOS EnrollmentBased on the most recent information from CMS, provider Ebou M Cham does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1780072462Provider TypeIndividualFull NameCham, Ebou MCredentialCRNAGenderMaleSole ProprietorNoEnumeration Date1/2/2015Last Updated9/28/2023Contact InformationPractice LocationPractice Address1100 9th Ave, Seattle, WA 98101-2756Phone(206) 223-6980Fax(206) 223-6982Mailing LocationMailing AddressPO Box 50095, Seattle, WA 98145-5095PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode367500000XPrimaryDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAP60538255Washington