Individual
MS. VIVIAN NKEM CHIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1698 E MCANDREWS RD, STE 170, MEDFORD, OR 97504-5589
(541) 732-8500
(541) 732-8501
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(541) 732-8500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
126377
OH
207R00000X
Internal Medicine Physician
Primary
MT195484
PA
207RG0100X
Gastroenterology Physician
MD181130
OR
Other
Enumeration date
08/05/2008
Last updated
02/19/2021
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