Individual
CHANTALLE VAN DOORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 SW 160TH AVE APT 435, BEAVERTON, OR 97006-5017
(310) 491-6075
Mailing address
1050 SW 160TH AVE APT 435, BEAVERTON, OR 97006-5017
(310) 491-6075
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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