Individual
TARYN CHRISTINE CHLEBOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17638 140TH AVE NE, WOODINVILLE, WA 98072-6800
(425) 485-4100
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00048137
WA
208000000X
Pediatrics Physician
Primary
MD00048137
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0221056
L&I
WA
05
—
1942372040
—
WA
Enumeration date
11/14/2006
Last updated
09/07/2012
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