CHATTAROY FAMILY MEDICINE PLLC NPI 1851613749

NPI Information

NPI: 1851613749
Provider Name: CHATTAROY FAMILY MEDICINE PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 50D2005779

Address:
23 E. CRAWFORD AVE.
DEER PARK, WA
ZIP 99006
Phone: (509) 276-2554
Get Directions

CHATTAROY FAMILY MEDICINE PLLC is a family medicine in Deer Park, WA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CHATTAROY FAMILY MEDICINE PLLC NPI is 1851613749. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

23 E. CRAWFORD AVE.
DEER PARK, WA
ZIP 99006
Phone: (509) 276-2554
Fax: (509) 276-2564

The provider's authorized official is Basil M Griffin .
The authorized official title is President and has the following contact phone number (509) 276-2554.

The CLIA number assigned to this NPI record is 50D2005779 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/19/2010 and was last updated on 12/1/2016.

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
1	207Q00000X	Family Medicine		MD00049372	WASHINGTON	Yes

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
1	G8893308	MEDICARE PIN	WASHINGTON
2	1851613749	MEDICAID	WASHINGTON

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: 4/28/2024

NPI Synchronization or Removal

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