Individual
MS. BRENDA ANNE CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA173932
OR
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
PA173932
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA173932
OREGON MEDICAL LICENSE
OR
Enumeration date
08/16/2013
Last updated
08/20/2025
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