Provider Demographics
NPI:1891072864
Name:FRAZIER, CHELSEA ELIZABETH ANN (LMP)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:ELIZABETH ANN
Last Name:FRAZIER
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11815 NE HIGHWAY 99
Mailing Address - Street 2:SUITE A
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98686-4008
Mailing Address - Country:US
Mailing Address - Phone:360-696-4405
Mailing Address - Fax:360-696-0582
Practice Address - Street 1:11815 NE HIGHWAY 99
Practice Address - Street 2:SUITE A
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98686-4008
Practice Address - Country:US
Practice Address - Phone:360-696-4405
Practice Address - Fax:360-696-0582
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-04
Last Update Date:2011-11-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMA60250694208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation