Individual
EMILY JEANETTE CHAKKERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-2000
Mailing address
20640 WORTHING LN, SOUTH BEND, IN 46637-1376
(920) 321-6166
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
60705172
WA
363A00000X
Physician Assistant
TC434
KY
Other
Enumeration date
11/05/2015
Last updated
01/25/2021
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