Individual
SIDNEY CHICHESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1514 SW HIGHLAND AVE, REDMOND, OR 97756-2500
(541) 504-2218
(541) 504-1195
Mailing address
299 SW EWEN ST, PRINEVILLE, OR 97754-2131
(541) 504-2218
(541) 504-1195
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
02-07-75
OR
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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