Individual
HOLLY BRITT CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9135 SW BARNES RD STE 875, PORTLAND, OR 97225-6683
(503) 297-3440
(503) 297-4584
Mailing address
9135 SW BARNES RD, STE 875, PORTLAND, OR 97225-6683
(503) 297-3440
(503) 297-4584
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA153701
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102420
CONNECTICARE
—
01
—
P00478582
RAILROAD MEDICARE
—
Enumeration date
11/20/2007
Last updated
03/06/2018
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