Individual
JAMES CLIVE CHESNUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4811 MEADOWS RD STE 101, LAKE OSWEGO, OR 97035-2542
(360) 254-6161
(360) 449-1146
Mailing address
200 NE MOTHER JOSEPH PL, STE 210, VANCOUVER, WA 98664-3295
(360) 254-6161
(360) 449-1146
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD19344
OR
Other
Enumeration date
07/31/2006
Last updated
02/11/2020
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