Individual
CATHRYN CHICOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1255 HILYARD ST, EUGENE, OR 97401
(541) 687-7134
(541) 687-7135
Mailing address
PO BOX 53, EUGENE, OR 97440
(541) 687-7134
(541) 687-7135
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD22038
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134159
—
OR
01
—
8004138-01
REGENCE
OR
01
—
8005089-30
REGENCE
OR
05
—
8296766
—
WA
05
—
MD8831R
—
AK
05
—
MD883OR
—
AK
Enumeration date
06/21/2006
Last updated
04/25/2008
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