Healthcare Provider Details

I. General information

NPI: 1548765522
Provider Name (Legal Business Name): CHELAN ROPERT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHELAN ROPERT

II. Dates (important events)

Enumeration Date: 03/29/2018
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

546 N JEFFERSON LN
SPOKANE WA
99201-7104
US

IV. Provider business mailing address

PO BOX 31001-4114
PASADENA CA
91110-0001
US

V. Phone/Fax

Practice location:
  • Phone: 509-381-6505
  • Fax: 509-227-7070
Mailing address:
  • Phone: 866-747-2455
  • Fax: 509-944-9644

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDO.OP.70136013
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: