Individual
CHELSEA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8573
Mailing address
PO BOX 3590, PORTLAND, OR 97208-3590
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DR.0068604
CO
207Q00000X
Family Medicine Physician
Primary
MD216504
OR
390200000X
Student in an Organized Health Care Education/Training Program
TL.0007525
CO
Other
Enumeration date
04/02/2019
Last updated
09/16/2024
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