Individual
HEATHER D CHIBAMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7203 129TH AVE SE, STE 100, NEWCASTLE, WA 98056-1412
(425) 656-5406
(425) 656-5040
Mailing address
PO BOX 34876, SEATTLE, WA 98124-1876
(425) 656-5412
(425) 656-4096
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.MD.60261626
WA
207Q00000X
Family Medicine Physician
ML60028910
WA
Other
Enumeration date
09/24/2008
Last updated
01/13/2012
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