Individual
ADAM SCOTT CHANCELLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
324 SW RAMSEY AVE, GRANTS PASS, OR 97527-5529
(541) 476-2323
Mailing address
1215 SW G ST, GRANTS PASS, OR 97526-2544
(541) 476-2323
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201406377RN
OR
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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