Provider Demographics
NPI:1164975132
Name:PARLAN, CHELSEY (OTR/L)
Entity Type:Individual
Prefix:
First Name:CHELSEY
Middle Name:
Last Name:PARLAN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:CHELSEY
Other - Middle Name:
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4201 NE 66TH AVE
Mailing Address - Street 2:106
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98661-3078
Mailing Address - Country:US
Mailing Address - Phone:360-885-4684
Mailing Address - Fax:
Practice Address - Street 1:4201 NE 66TH AVE
Practice Address - Street 2:106
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98661-3078
Practice Address - Country:US
Practice Address - Phone:360-885-4684
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-26
Last Update Date:2020-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT60684969225X00000X
OR360803225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2087062Medicaid