Individual
LIZELLE CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17632 WOODHURST PL, LAKE OSWEGO, OR 97034-4011
(408) 656-2662
Mailing address
17632 WOODHURST PL, LAKE OSWEGO, OR 97034-4011
(408) 656-2662
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
4360
CA
225X00000X
Occupational Therapist
Primary
998155
OR
Other
Enumeration date
09/16/2014
Last updated
12/30/2021
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