Individual
LISA CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10700 SW BEAVERTON HILLSDALE HWY, BEAVERTON, OR 97005-3019
(503) 641-1475
Mailing address
16245 NW SCHENDEL AVE APT 7F, BEAVERTON, OR 97006-6636
(503) 438-5332
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200943198
OR
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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