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NPI Code Detail

MEDICARE: JACQUELINE TANYA CHIPKIN MD

MEDICARE: JACQUELINE TANYA CHIPKIN MD
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
12084P0800XPsychiatry PhysicianMD61334442WA
22084P0802XAddiction Psychiatry PhysicianMD61334442WA

General Provider Information

NPI Number : 1144856071
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELINE TANYA CHIPKIN MD
Provider Business Mailing Address
First Line : 515 3RD AVE
Second Line :
City : SEATTLE
State : WA
Zip : 98104-2304
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 515 3RD AVE
Second Line :
City : SEATTLE
State : WA
Zip : 98104-2304
Country : US
Telephone Number : 206-464-1570
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2020
Last Update Date : 05/20/2026

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Directions to “ JACQUELINE TANYA CHIPKIN MD” Practice Location

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