Individual
DR. DERMOT PETER CHAMBERLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14701 179TH AVE SE, VALLEY GENERAL HOSPITAL, MONROE, WA 98272-1108
(360) 794-1429
(360) 863-4650
Mailing address
4444 191ST PL SE, ISSAQUAH, WA 98027-9709
(425) 641-1716
(425) 641-5661
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00016443
WA
207L00000X
Anesthesiology Physician
MD00016443
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025790
—
WA
Enumeration date
08/19/2006
Last updated
12/11/2007
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