DR. CHARDONNAY VANCE MD PHD NPI 1164834347

NPI Information

  • NPI: 1164834347
  • Provider Name: DR. CHARDONNAY VANCE, MD PHD
  • Classification: Obstetrics & Gynecology - 207VX0000X
  • Specialization: Obstetrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 181 W JEWETT BLVD
    WHITE SALMON, WA
    ZIP 98672
  • Phone: (509) 289-2119

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NPI Details

DR. Chardonnay Vance, MD PHD is an obstetrics obstetrics gynecology in White Salmon, WA. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee DR. Chardonnay Vance, MD PHD NPI is 1164834347. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

181 W JEWETT BLVD
WHITE SALMON, WA
ZIP 98672-974
Phone: (509) 289-2119

The NPI 1164834347 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)

The enumeration date for this NPI number is 5/22/2014 and was last updated on 3/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineMED-PHYS-LIC-53568MONTANANo
2207Q00000XFamily MedicineMD181361OREGONNo
3207Q00000XFamily MedicineMD60734244WASHINGTONNo
4207Q00000XFamily MedicineC1-0024847DELAWARENo
5207Q00000XFamily MedicineT6799TEXASNo
6207Q00000XFamily MedicineEMC0000406MICHIGANNo
7207Q00000XFamily MedicineMC-0516IDAHONo
8207Q00000XFamily Medicine29232MISSISSIPPINo
9207Q00000XFamily Medicine21735NEW HAMPSHIRENo
10207Q00000XFamily Medicine21239NEVADANo
11207Q00000XFamily Medicine88601SOUTH CAROLINANo
12207Q00000XFamily Medicine30684WEST VIRGINIANo
13207Q00000XFamily Medicine11037AWYOMINGNo
14207Q00000XFamily Medicine38523OKLAHOMANo
15207VX0000XObstetrics & GynecologyObstetricsMD181361OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12080300MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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