Individual
BONNEY CHAMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRM
Contact information
Practice address
1942 SHERIDAN AVE, NORTH BEND, OR 97459-3416
(541) 756-3111
Mailing address
1942 SHERIDAN AVE, NORTH BEND, OR 97459-3416
(541) 756-3111
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW000104308
OR
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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