DR. CHARDONNAY VANCE MD PHD NPI 1164834347

NPI Information

NPI: 1164834347
Provider Name: DR. CHARDONNAY VANCE, MD PHD
Classification: Obstetrics & Gynecology - 207VX0000X
Entity Type: Individual

Specialization: Obstetrics

PECOS Registration: Yes

Address:
181 W JEWETT BLVD
WHITE SALMON, WA
ZIP 98672
Phone: (509) 289-2119
Get Directions

DR. Chardonnay Vance, MD PHD is an obstetrics obstetrics gynecology in White Salmon, WA. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee DR. Chardonnay Vance, MD PHD NPI is 1164834347. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

181 W JEWETT BLVD
WHITE SALMON, WA
ZIP 98672-974
Phone: (509) 289-2119

The NPI 1164834347 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/22/2014 and was last updated on 3/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		MED-PHYS-LIC-53568	MONTANA	No
2	207Q00000X	Family Medicine		MD181361	OREGON	No
3	207Q00000X	Family Medicine		MD60734244	WASHINGTON	No
4	207Q00000X	Family Medicine		C1-0024847	DELAWARE	No
5	207Q00000X	Family Medicine		T6799	TEXAS	No
6	207Q00000X	Family Medicine		EMC0000406	MICHIGAN	No
7	207Q00000X	Family Medicine		MC-0516	IDAHO	No
8	207Q00000X	Family Medicine		29232	MISSISSIPPI	No
9	207Q00000X	Family Medicine		21735	NEW HAMPSHIRE	No
10	207Q00000X	Family Medicine		21239	NEVADA	No
11	207Q00000X	Family Medicine		88601	SOUTH CAROLINA	No
12	207Q00000X	Family Medicine		30684	WEST VIRGINIA	No
13	207Q00000X	Family Medicine		11037A	WYOMING	No
14	207Q00000X	Family Medicine		38523	OKLAHOMA	No
15	207VX0000X	Obstetrics & Gynecology	Obstetrics	MD181361	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2080300	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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