Provider / Organization | NPI | Date Certified |
---|---|---|
CHAD R MAGNUSON | 1265473102 | 2024-07-05 |
Chad Raymond Magnuson MD [M] graduated in 1991 from University Of Illinois College Of Med (chi/peor/rock/chm-urb) and primarily specializes in Family Medicine.
Chad R Magnuson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1265473102. Registration indicates Chad R Magnuson is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Family Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) (Allopathic & Osteopathic Physicians, Family Medicine) (Family Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine, Allopathic & Osteopathic Physicians)
PECOS ID | 1658352117 |
Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
Entity Type | Individual |
Provider Name | Chad R Magnuson MD |
Practice Office Address | 2450 33RD AVE W SUITE 100 SEATTLE, WA US |
Practice Office Telephone | 2063203364 |
Practice Office Fax | 2063205869 |
Mailing Address | PO BOX 34703 SEATTLE, WA 981241703 US |
Business Telephone | 2536816626 |
Business Fax | 2065687043 |
Direct Messaging Address [] | [email protected] | Direct |
Code | Practice | License No State |
---|---|---|
207Q00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Family MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Family Medicine Allopathic & Osteopathic Physicians Family Medicine Family Medicine Primary Care/Family Planning/APRN/PA Family Medicine Allopathic & Osteopathic Physicians | MD00037413
WA |