Individual
DIANNA CHAMBLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4027 HOYT AVE STE 104, EVERETT, WA 98201-4972
(425) 339-5489
(425) 317-3689
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
20091
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007080
—
WA
Enumeration date
10/05/2006
Last updated
12/06/2012
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