NPI 1275141236

Chase Kiyoshi Yamamoto, CBRS

Practitioner Case Manager/Care Coordinator Coeur D Alene, ID

Practice location

Address: 6795 N Mineral Dr, Coeur D Alene, ID 83815-8700
Phone: (208) 769-4222
Fax: (844) 803-7399
Mailing address: P.O.B.1387, Hayden, ID 83835

Registered specialties (2)

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Community Health Worker

Other Service Providers Taxonomy 172V00000X

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Registry record

NPI: 1275141236
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jul 2020
Record last updated: 5 Oct 2020

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.