Provider Demographics
NPI:1265674386
Name:CHAPIN, CHRIS MATTHEW
Entity Type:Individual
Prefix:
First Name:CHRIS
Middle Name:MATTHEW
Last Name:CHAPIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:818 NE 58TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-2733
Mailing Address - Country:US
Mailing Address - Phone:503-679-7472
Mailing Address - Fax:
Practice Address - Street 1:818 NE 58TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-2733
Practice Address - Country:US
Practice Address - Phone:503-679-7472
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-03
Last Update Date:2009-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health