Individual
CHAD A MONGRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10 NICHOLLS ST, DAVENPORT, WA 99122-9729
(509) 725-7501
(509) 725-7504
Mailing address
10 NICHOLLS ST, DAVENPORT, WA 99122-9729
(509) 725-7501
(509) 725-7504
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP00002086
WA
207V00000X
Obstetrics & Gynecology Physician
OP00002086
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017260
—
WA
05
—
8452310
—
WA
01
—
AB06402
GROUP MEDICARE PIN
WA
Enumeration date
06/07/2006
Last updated
02/26/2026
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