Individual
MR. CHARLES B CHAMBERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1139 EXCHANGE ST, ASTORIA, OR 97103-4129
(503) 440-8853
Mailing address
768 ERIE AVE, ASTORIA, OR 97103-5800
(503) 440-8853
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C4027
OR
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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