Provider Demographics
NPI:1346433166
Name:CHUBINSKAYA, KATHERINE (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:
Last Name:CHUBINSKAYA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:YEKATERINA
Other - Middle Name:
Other - Last Name:CHUBINSKAYA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1600
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98668-1600
Mailing Address - Country:US
Mailing Address - Phone:360-514-3148
Mailing Address - Fax:360-514-3590
Practice Address - Street 1:2312 NE 129TH ST STE 120
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98686-3236
Practice Address - Country:US
Practice Address - Phone:360-546-8900
Practice Address - Fax:360-546-8090
Is Sole Proprietor?:No
Enumeration Date:2007-08-24
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00043678207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8890697Medicare PIN