Individual
DR. STEPHEN JACK CHESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2890 DOUGLAS DR STE 100, BOSSIER CITY, LA 71111-5806
(318) 742-6900
Mailing address
9322 N MACRUM AVE, PORTLAND, OR 97203-2552
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
341324
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2497910
—
LA
Enumeration date
03/29/2019
Last updated
09/13/2025
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