NPI 1043753486

Jake Ryan Chastain

Practitioner Basic Emergency Medical Technician Sedro Woolley, WA

Practice location

Address: 374 Rainbow Dr, Sedro Woolley, WA 98284-9587
Phone: (425) 327-3396

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence ES. 60623189 (WA)

Other Emergency Medical Technician, Basic providers in Washington →

Registry record

NPI: 1043753486
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Dec 2016
Record last updated: 1 Dec 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.