Individual
MR. MICHAEL LEE CHEWNING
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PNP
Contact information
Practice address
2800 N VANCOUVER AVE, SUITE 165, PORTLAND, OR 97227-1630
(503) 413-2902
(503) 413-5220
Mailing address
2800 N VANCOUVER AVE, SUITE 165, PORTLAND, OR 97227-1630
(503) 413-2902
(503) 413-5220
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
—
OR
Other
Enumeration date
03/31/2006
Last updated
07/08/2007
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