Individual
DR. EDMUND CHANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
86948 MCTIMMONS LN, BANDON, OR 97411-7250
(206) 779-9286
Mailing address
86948 MCTIMMONS LN, BANDON, OR 97411-7250
(206) 779-9286
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TH0004X
Health Psychologist
—
—
Other
Enumeration date
09/20/2006
Last updated
03/24/2011
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