DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: A CHANCELLOR PELL PA-C

MEDICARE: A CHANCELLOR PELL PA-C
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
1363A00000XPhysician AssistantPA10003136WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013968254
Entity Type Code : Individual
Provider Name (Legal Business Name) : A CHANCELLOR PELL PA-C
Provider Business Mailing Address
First Line : PO BOX 3360
Second Line :
City : PORTLAND
State : OR
Zip : 97208-3360
Country : US
Telephone Number : 866-366-2983
Fax Number :
Provider Business Practice Location Address
First Line : 19200 N KELSEY ST
Second Line :
City : MONROE
State : WA
Zip : 98272-1431
Country : US
Telephone Number : 360-794-7994
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2006
Last Update Date : 03/10/2015

Similar Medicare Providers

1023014925 — DR. RHONDA MARIE BASS M. D.
Practice Location Address:
19200 N KELSEY ST
MONROE, WA
98272-1431
Practice Phone: 360-794-7994
Practice Fax:
1255314290 — DR. THOMAS W GARGES MD
Practice Location Address:
19200 N KELSEY ST
MONROE, WA
98272-1431
Practice Phone: 360-794-7994
Practice Fax:
1255438339 — DR. INGRID LORENA ACUNA-EATON M.D.
Practice Location Address:
19200 N KELSEY ST
MONROE, WA
98272-1431
Practice Phone: 360-794-7994
Practice Fax: 360-805-4755
1750482865 — WENDY J. COFFMAN MD
Practice Location Address:
19200 N KELSEY ST
MONROE, WA
98272-1431
Practice Phone: 360-794-7994
Practice Fax: 360-805-4755
1750482345 — JEFFREY D. HAMBLETON MD
Practice Location Address:
19200 N KELSEY ST , SUITE 100
MONROE, WA
98272-1431
Practice Phone: 360-794-7994
Practice Fax: 360-805-4755
1578664132 — WENDY C. IMBERG ARNP
Practice Location Address:
19200 N KELSEY ST
MONROE, WA
98272-1431
Practice Phone: 360-794-7994
Practice Fax: 360-805-4755

Directions to “ A CHANCELLOR PELL PA-C” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.