Individual
MS. DONNA CHISHOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1435 NW WEST HILLS AVE, BEND, OR 97701-1040
(650) 787-0337
Mailing address
1435 NW WEST HILLS AVE, BEND, OR 97701-1040
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT60123
OR
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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