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General NPI Number Information
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NPI Number | 1437263993
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Entity Type | Individual
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Provider Name | DERMOT PETER CHAMBERLAIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 12/11/2007
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Provider Practice Location Address
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Address Line | 14701 179TH AVE SE VALLEY GENERAL HOSPITAL
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City | MONROE
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State | WA
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Zip | 98272-1108
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Country | US
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Telephone | 360-794-1429
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Fax | 360-863-4650
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Provider Business Mailing Address
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Address Line | 4444 191ST PL SE
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City | ISSAQUAH
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State | WA
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Zip | 98027-9709
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Country | US
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Telephone | 425-641-1716
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Fax | 425-641-5661
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD00016443
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD00016443
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License Number State | WA
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