Individual
PEGGY ANN CHUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
377 NW JASPER ST, DALLAS, OR 97338-1279
(503) 623-5581
Mailing address
603 7TH ST, DAYTON, OR 97114-9782
(503) 437-4255
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
7387
OR
Other
Enumeration date
03/16/2021
Last updated
03/16/2021
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