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NPI Code Detail

MEDICARE: CHLOE MADELYN DAVIS

MEDICARE: CHLOE MADELYN DAVIS
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
1390200000XStudent in an Organized Health Care Education/Training ProgramIR61595076WA

General Provider Information

NPI Number : 1649116534
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHLOE MADELYN DAVIS
Provider Business Mailing Address
First Line : 20107 6TH STREET CT E
Second Line :
City : LAKE TAPPS
State : WA
Zip : 98391-6234
Country : US
Telephone Number : 253-797-0444
Fax Number :
Provider Business Practice Location Address
First Line : PBS, 205 E SPOKANE FALLS BLVD
Second Line :
City : SPOKANE
State : WA
Zip : 99202-2131
Country : US
Telephone Number : 253-797-0444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2026
Last Update Date : 04/24/2026

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Directions to “ CHLOE MADELYN DAVIS ” Practice Location

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