Individual
TERI CHASTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1605 116TH AVE NE, SUITE 106, BELLEVUE, WA 98004-3034
(425) 467-5955
(425) 467-5839
Mailing address
1605 116TH AVE NE, SUITE 106, BELLEVUE, WA 98004-3034
(425) 467-5955
(425) 467-5839
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00008899
WA
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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