Individual
MR. CHAD JACOB PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS,AT. RET, PA-C
Contact information
Practice address
452 WELCH ST, SILVERTON, OR 97381-1934
(503) 874-2454
Mailing address
PO BOX 3417, PORTLAND, OR 97208-3417
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
51311
CA
363A00000X
Physician Assistant
Primary
PA179415
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500715171
—
OR
Enumeration date
01/30/2008
Last updated
02/17/2023
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