Individual
LISA F CHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
315 SE STONEMILL DR STE 228, VANCOUVER, WA 98684-6987
(360) 687-6650
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
644612
TX
363LF0000X
Family Nurse Practitioner
Primary
AP61447760
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281214101
—
TX
05
—
281214102
—
TX
Enumeration date
03/21/2011
Last updated
11/06/2023
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