Individual
DEBORAH CHAPLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
17722 TALBOT RD S, RENTON, WA 98055-5744
(425) 228-0722
(425) 271-2566
Mailing address
17722 TALBOT RD S, RENTON, WA 98055-5744
(425) 228-0722
(425) 271-2566
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10004232
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3672CH
BLUE SHIELD #
WA
05
—
8377145
—
WA
01
—
US7305700
AETNA PCP PIN #
WA
Enumeration date
08/16/2005
Last updated
05/04/2008
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