Individual provider · Type 1 NPI
Chantel Laiann Bastin, LMP
Specialist · Olympia, WA
NPI number
1386997864
Active
Practice location
3545 Delphi Rd SW
Olympia, WA 98512-9345
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MA60319175 (WA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1386997864
Chantel Laiann Bastin, LMP's National Provider Identifier is 1386997864, issued on Oct 20, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Olympia, WA. The record was last updated on Oct 20, 2012.