Provider Demographics
NPI:1417503178
Name:CHAPIN, JUSTIN EDWARD
Entity Type:Individual
Prefix:MR
First Name:JUSTIN
Middle Name:EDWARD
Last Name:CHAPIN
Suffix:
Gender:M
Credentials:
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Mailing Address - Street 1:3209 S 23RD ST STE 200
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-1602
Mailing Address - Country:US
Mailing Address - Phone:253-272-5127
Mailing Address - Fax:253-272-0811
Practice Address - Street 1:11216 SUNRISE BLVD E STE 3-207
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98374-8848
Practice Address - Country:US
Practice Address - Phone:253-770-3700
Practice Address - Fax:253-435-7019
Is Sole Proprietor?:No
Enumeration Date:2019-08-17
Last Update Date:2022-03-02
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant