Individual
CHAD C CHESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
625 9TH AVE, SUITE 120, LONGVIEW, WA 98632-2464
(360) 636-8950
(360) 636-8951
Mailing address
625 9TH AVE, SUITE 120, LONGVIEW, WA 98632-2464
(360) 425-3720
(360) 425-0090
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD000041953
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8348179
—
WA
Enumeration date
07/09/2005
Last updated
12/02/2019
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