Organization · NPI-2
Chinn Gyn LLC
Obstetrics & Gynecology, Gynecology · Mount Vernon, WA
NPI number1336602473
StatusActive
Last updated in NPPESApr 24, 2023
Details
- NPI
- 1336602473
- Entity type
- Organization (NPI-2)
- Legal business name
- Chinn Gyn LLC
- Organization subpart
- No
- Enumeration date
- Apr 6, 2019
- Certification date
- Apr 24, 2023
- Last updated
- Apr 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VG0400X | Obstetrics & Gynecology, Gynecology | – | – | Yes |
| 207VF0040X | Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery | – | – | |
| 261QA0006X | Clinic/Center, Ambulatory Fertility Facility | – | – | |
| 261QF0050X | Clinic/Center, Family Planning, Non-Surgical | – | – | |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | |
| 261QP2300X | Clinic/Center, Primary Care | – | – | |
| 363LX0001X | Nurse Practitioner, Obstetrics & Gynecology | – | – |
Practice location
111 S 12th StMount Vernon, WA 98274-4000
Phone 360-824-5278 · Fax 360-768-3134
Mailing address
Po Box 1407Mount Vernon, WA 98273-1407
Phone 360-824-5278 · Fax 888-281-2979
Authorized official
Melissa Chinn
Owner & Medical Director
3608245278
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