Individual
CHRISTOPHER ANTHONY CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1401 BRYANT WILLIAMS DR, KLAMATH FALLS, OR 97601-7151
(541) 882-6691
Mailing address
709 S MILLSTREAM DR, NAMPA, ID 83686
(951) 941-0242
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
09347
OR
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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