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Individual

DR. ALLAN F. CHINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
195 SW 144TH AVE, BEAVERTON, OR 97006-5954
(503) 705-7136
Mailing address
195 SW 144TH AVE, BEAVERTON, OR 97006-5954
(503) 705-7136

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1539
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
142511
L&I WORK COMP
WA
05
2602063
NV
Enumeration date
03/30/2007
Last updated
07/09/2007
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