Provider Demographics
NPI:1225598345
Name:HOGAN, CHELSEA S (MD)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:S
Last Name:HOGAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9720 4TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-2143
Mailing Address - Country:US
Mailing Address - Phone:800-287-2680
Mailing Address - Fax:877-516-8135
Practice Address - Street 1:9720 4TH AVE NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-2143
Practice Address - Country:US
Practice Address - Phone:800-287-2680
Practice Address - Fax:877-516-8135
Is Sole Proprietor?:No
Enumeration Date:2019-03-24
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD613143672084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry