Provider Demographics
NPI:1689394231
Name:THABET-CHAPIN, KATRICE
Entity Type:Individual
Prefix:
First Name:KATRICE
Middle Name:
Last Name:THABET-CHAPIN
Suffix:
Gender:F
Credentials:
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 220399
Mailing Address - Street 2:
Mailing Address - City:MILWAUKIE
Mailing Address - State:OR
Mailing Address - Zip Code:97269-0399
Mailing Address - Country:US
Mailing Address - Phone:206-552-3296
Mailing Address - Fax:
Practice Address - Street 1:10500 SE 26TH AVE APT A14
Practice Address - Street 2:
Practice Address - City:MILWAUKIE
Practice Address - State:OR
Practice Address - Zip Code:97222-9602
Practice Address - Country:US
Practice Address - Phone:206-552-3296
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-01
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula