Individual
MR. CHRISTIAN CHAD STOREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
6601 NE 78TH CT STE A3, PORTLAND, OR 97218-2823
(971) 361-0798
Mailing address
515 N 3RD AVE, STAYTON, OR 97383-1729
(971) 720-8794
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
202202510LPN
OR
Other
Enumeration date
04/07/2023
Last updated
04/07/2023
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