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NPI Code Detail

MEDICARE: DR. SCOTT J CHAFFIN D.O.

MEDICARE:  DR. SCOTT J CHAFFIN  D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1204D00000XNeuromusculoskeletal Medicine & OMM Physician1226ME
2207Q00000XFamily Medicine Physician1226ME
3207Q00000XFamily Medicine PhysicianOP00002175WA

Other Identifiers

General Provider Information

NPI Number : 1205891637
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SCOTT J CHAFFIN D.O.
Provider Business Mailing Address
First Line : 1400 POTTERY AVE
Second Line :
City : PORT ORCHARD
State : WA
Zip : 98366-3711
Country : US
Telephone Number : 360-895-5000
Fax Number : 360-895-5034
Provider Business Practice Location Address
First Line : 10030 SW 210TH ST
Second Line :
City : VASHON
State : WA
Zip : 98070-6584
Country : US
Telephone Number : 206-463-3671
Fax Number : 206-463-3613
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2006
Last Update Date : 03/31/2021

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Directions to “ DR. SCOTT J CHAFFIN D.O.” Practice Location

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