Provider Demographics
NPI:1932135720
Name:CHANDLER, MEL EUGENE (MD)
Entity Type:Individual
Prefix:DR
First Name:MEL
Middle Name:EUGENE
Last Name:CHANDLER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:807 7TH AVENUE SOUTH
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98020-4080
Mailing Address - Country:US
Mailing Address - Phone:425-771-4843
Mailing Address - Fax:360-419-7535
Practice Address - Street 1:609 N SHORE DR
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-4414
Practice Address - Country:US
Practice Address - Phone:360-676-6000
Practice Address - Fax:360-676-6006
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2012-10-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WA00017242MD207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAC92381Medicare UPIN