Organization
CHARLES T CHAFFEE MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES T CHAFFEE MD (OWNER)
(360) 435-7337
Entity
Organization
Contact information
Practice address
7530 204TH ST NE, ARLINGTON, WA 98223-8912
(360) 435-7337
(360) 435-3510
Mailing address
7530 204TH ST NE, ARLINGTON, WA 98223-8912
(360) 435-7337
(360) 435-3510
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7112204
—
WA
Enumeration date
07/24/2007
Last updated
10/09/2007
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