Individual
MS. CHELSEA C BURCHETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
741 NE 6TH ST, GRANTS PASS, OR 97526-1556
(541) 471-2701
(541) 471-1166
Mailing address
741 NE 6TH ST, GRANTS PASS, OR 97526-1556
(541) 471-2701
(541) 471-1166
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00781
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135288
—
OR
Enumeration date
09/26/2005
Last updated
11/19/2019
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