Individual
DR. CHAD RICHARD DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
12 S 8TH ST, YAKIMA, WA 98901-3020
(509) 454-4143
Mailing address
PO BOX 2605, YAKIMA, WA 98907-2605
(509) 454-4143
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OP61034280
WA
208D00000X
General Practice Physician
1199
NE
Other
Enumeration date
04/03/2013
Last updated
03/04/2020
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