Individual
IAN JAMES CHAMBERLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1021 NE 6TH ST, GRANTS PASS, OR 97526-1113
(541) 672-7546
Mailing address
1021 NE 6TH ST, GRANTS PASS, OR 97526-1113
(702) 538-4334
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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