Provider Demographics
NPI:1497397426
Name:GIES, CHAISE MARIE (MS)
Entity Type:Individual
Prefix:
First Name:CHAISE MARIE
Middle Name:
Last Name:GIES
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3789
Mailing Address - Street 2:
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-3789
Mailing Address - Country:US
Mailing Address - Phone:844-701-1080
Mailing Address - Fax:844-701-1085
Practice Address - Street 1:2041 NW MYHRE RD
Practice Address - Street 2:SUITE 311
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383
Practice Address - Country:US
Practice Address - Phone:844-701-1080
Practice Address - Fax:844-701-1085
Is Sole Proprietor?:No
Enumeration Date:2019-10-10
Last Update Date:2019-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program