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General NPI Number Information
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NPI Number | 1497077218
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Entity Type | Individual
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Provider Name | KATHLEEN CHIN M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/20/2010
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 3425 ENSIGN RD NE STE 220
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City | OLYMPIA
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State | WA
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Zip | 98506-5063
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Country | US
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Telephone | 360-493-4015
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Fax | 604-937-4723
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Provider Business Mailing Address
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Address Line | PO BOX 3360
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City | PORTLAND
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State | OR
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Zip | 97208-3360
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Country | US
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Telephone |
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Fax |
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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 | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number | MD61548569
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License Number State | WA
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