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NPI Code Detail

MEDICARE: REGAN ELIZABETH CHEWNING PA-C

MEDICARE: REGAN ELIZABETH CHEWNING 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 AssistantPA.61403537WA

General Provider Information

NPI Number : 1144895897
Entity Type Code : Individual
Provider Name (Legal Business Name) : REGAN ELIZABETH CHEWNING PA-C
Provider Business Mailing Address
First Line : 601 COLUMBIA ST APT 322
Second Line :
City : VANCOUVER
State : WA
Zip : 98660-3476
Country : US
Telephone Number : 404-660-2643
Fax Number :
Provider Business Practice Location Address
First Line : 400 NE MOTHER JOSEPH PL
Second Line :
City : VANCOUVER
State : WA
Zip : 98664-3200
Country : US
Telephone Number : 360-514-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2021
Last Update Date : 01/08/2026

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Directions to “ REGAN ELIZABETH CHEWNING PA-C” Practice Location

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