Organization
CHINN GYN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA CHINN DO (OWNER & MEDICAL DIRECTOR)
(360) 824-5278
Entity
Organization
Contact information
Practice address
111 S 12TH ST, MOUNT VERNON, WA 98274-4000
(360) 824-5278
(360) 768-3134
Mailing address
PO BOX 1407, MOUNT VERNON, WA 98273-1407
(360) 824-5278
(888) 281-2979
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
—
—
207VG0400X
Gynecology Physician
Primary
—
—
261QA0006X
Ambulatory Fertility Facility
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
604425952
UBI
—
Enumeration date
04/06/2019
Last updated
04/24/2023
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