Individual
CHAD ALLEN WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1330 ROCKEFELLER AVE, SUITE 310, EVERETT, WA 98201-1684
(425) 339-5476
Mailing address
3901 HOYT AVE, EVERETT, WA 98201-4918
(425) 339-5476
(425) 259-6069
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
46308
MN
207X00000X
Orthopaedic Surgery Physician
Primary
MD00047258
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302130100
—
MN
01
—
309L2WA
BCBS
MN
01
—
MD00047258
LICENSE
WA
Enumeration date
08/20/2006
Last updated
04/04/2022
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