Individual
BEKA CHARLEEN CHANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.
Contact information
Practice address
987 SISKIYOU BLVD, ASHLAND, OR 97520-2237
(541) 778-0015
Mailing address
PO BOX 3352, ASHLAND, OR 97520-0312
(541) 778-0015
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16212
OR
Other
Enumeration date
07/16/2009
Last updated
07/16/2009
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