Individual
DR. CHARLES CHABAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12040 NE 128TH ST, KIRKLAND, WA 98034-3013
(425) 899-2365
(425) 899-2377
Mailing address
PO BOX 7096, STOCKTON, CA 95261-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
MD00022772
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0400CH
REGENCE BLUE SHIELD
WA
05
—
1026566
—
WA
01
—
174416
DEPT/LABOR & INDUSTRIES
WA
Enumeration date
05/22/2006
Last updated
02/14/2013
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