Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Frederick Marland Chancellor III, MD

Individual provider Family Medicine Physician · NPI 1700959780

Frederick Marland Chancellor III, MD is a Family Practice in Mukilteo, Washington. Graduated from Ohio State University College of Medicine in 1998, 28 years ago. Practices with The Polyclinic PLLC, a 366-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in California and Washington.

Years since qualifying
28
Trained at
Ohio State University College of Medicine
Licensed in
CA, WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4410 106th St SW
Mukilteo, WA 98275-4700
Phone: (425) 258-3900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 512 Hamilton Ave, Palo Alto, CA 94301-2011 — (650) 323-2100
  • 700 Lilly Rd Ne, Olympia, WA 98506-5115 — (360) 923-7000

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD60553847 (WA)
Family Medicine Physician Taxonomy 207Q00000X · Licence A74311 (CA)

Record details

NPI number1700959780
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 16, 2006
Last updated in NPPESApril 9, 2024
Certification dateApril 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice The Polyclinic Pllc — 366 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Mukilteo