Healthcare Provider Details

I. General information

NPI: 1699114017
Provider Name (Legal Business Name): CHRISTOPHER SCOTT CHAVARRIA D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2013
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 NW MYHRE RD
SILVERDALE WA
98383-7681
US

IV. Provider business mailing address

5005 N PIEDRAS ST ATTN: WBAMC ALLERGY/IMMUNOLOGY CLINIC
EL PASO TX
79920
US

V. Phone/Fax

Practice location:
  • Phone: 360-830-1100
  • Fax: 360-830-1385
Mailing address:
  • Phone: 915-742-2627
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0102204192
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberDO.OP.70058826
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number0102204192
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: