Individual
SHALINI NICOLE CHEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12050 SE STEVENS RD STE 100, HAPPY VALLEY, OR 97086-7667
(503) 783-3300
(503) 783-3319
Mailing address
PO BOX 22009, PORTLAND, OR 97269-2009
(503) 558-7372
(503) 344-5140
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4509
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500793824
—
OR
Enumeration date
05/06/2020
Last updated
02/01/2023
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