Individual
KATEARA C CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRM
Contact information
Practice address
46314 TIMINE WAY, PENDLETON, OR 97801
(541) 966-9830
(509) 735-6914
Mailing address
46314 TIMINE WAY, PENDLETON, OR 97801
(509) 735-6900
(509) 735-6914
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
21-CRM-403
OR
Other
Enumeration date
08/04/2017
Last updated
04/28/2021
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