Individual
DR. EDWARD AUGUSTUS CHASTENEY IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2211 E MILL PLAIN BLVD, VANCOUVER, WA 98661-4329
(360) 699-6070
(360) 619-4206
Mailing address
2211 E MILL PLAIN BLVD, VANCOUVER, WA 98661-4329
(360) 699-6070
(360) 619-4206
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD00034716
WA
207RC0000X
Cardiovascular Disease Physician
MD17249
OR
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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