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Chad Upshaw

NPI 1861212060 · on the registry since 2024 · sole proprietor

Practice

Address
673 Woodland Square Loop Se Ste 330
Lacey, WA 98503
Phone
(415) 710-6689
Clinicians at this address
15

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-12-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington