# CHATTAROY FAMILY MEDICINE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851613749
- **Authorized official:** BASIL M GRIFFIN III MD (PRESIDENT)
- **Authorized official phone:** (509) 276-2554

## Contact information

- **Practice address:** 23 E. CRAWFORD AVE., DEER PARK, WA 99006
- **Practice address phone:** (509) 276-2554
- **Practice address fax:** (509) 276-2564
- **Mailing address:** PO BOX 1304, DEER PARK, WA 99006-1304
- **Mailing address phone:** (509) 276-2554
- **Mailing address fax:** (509) 276-2564

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD00049372 | WA | Yes |

## Other

- **Enumeration date:** 02/19/2010
- **Last updated:** 12/01/2016