Provider Demographics
NPI:1265610752
Name:CHAVES, JORGE M (MD)
Entity type:Individual
Prefix:DR
First Name:JORGE
Middle Name:M
Last Name:CHAVES
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1708 S YAKIMA AVE SUITE 120
Mailing Address - Street 2:ST JOSEPH MEDICAL CLINIC - TACOMA
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-4889
Mailing Address - Country:US
Mailing Address - Phone:360-923-7181
Mailing Address - Fax:253-596-3753
Practice Address - Street 1:1624 SOUTH I STREET
Practice Address - Street 2:SUITE 102
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-5093
Practice Address - Country:US
Practice Address - Phone:253-383-3366
Practice Address - Fax:253-383-3376
Is Sole Proprietor?:No
Enumeration Date:2008-02-06
Last Update Date:2017-11-01
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Provider Licenses
StateLicense IDTaxonomies
WAMD60199121207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology