Individual
DR. ANDREA J CHATBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O., M.A.
Contact information
Practice address
101 W 8TH AVE, SPOKANE, WA 99204-2307
(509) 474-2072
Mailing address
PO BOX 462, LIBERTY LAKE, WA 99019-0462
(509) 474-2072
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OP60333805
WA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
OP60333805
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RES000
RES000
—
Enumeration date
06/24/2010
Last updated
05/03/2021
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