Individual
MS. LESLIE CHAMBERLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3927 RUCKER AVE, EVERETT, WA 98201-4833
(425) 339-5422
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 339-5422
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004631
WA
363AM0700X
Medical Physician Assistant
PA10004631
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0242904
DEPARTMENT OF LABOR AND INDUSTRIES
WA
01
—
0307432
WA L&I
WA
05
—
1009158
—
WA
01
—
7306CH
BLUE CROSS/BLUE SHIELD
WA
05
—
8463416
—
WA
01
—
PA10004631
PA LICENSE NUMBER
WA
Enumeration date
07/17/2006
Last updated
11/20/2025
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