Individual
ELIZABETH ANN CHATTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3325 POCAHONTAS RD, BAKER CITY, OR 97814-1464
(541) 523-6461
Mailing address
3325 POCAHONTAS RD, BAKER CITY, OR 97814-1464
(541) 523-6461
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10005192
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3862CH
BLUE SHIELD
WA
05
—
8488512
—
WA
Enumeration date
04/11/2007
Last updated
08/23/2011
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