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Individual

KAYLA CHAPMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
85 NW ALDER PL STE A, ISSAQUAH, WA 98027-3201
(503) 362-8385
(503) 362-8435
Mailing address
1793 13TH ST SE, SALEM, OR 97302-2541
(503) 362-8385
(503) 362-8435

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61109266
WA
363AM0700X
Medical Physician Assistant
084424
IA
363AM0700X
Medical Physician Assistant
5601008589
MI

Other

Enumeration date
09/29/2016
Last updated
12/02/2020
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