Individual
SHARON REBECCA CHATKUPTLEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
5410 SW MACADAM AVE, SUITE 230, PORTLAND, OR 97239
(503) 719-6519
(503) 719-6529
Mailing address
5410 SW MACADAM AVE, SUITE 230, PORTLAND, OR 97239
(503) 963-1290
(503) 230-1541
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1599
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054123018
BLUE CROSS
—
01
—
5610238
CCN
—
Enumeration date
07/21/2006
Last updated
06/02/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us