Individual
PHILIP CHAPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
920 COUNTRY CLUB RD, SUITE 200A, EUGENE, OR 97401-6024
(541) 342-2134
(541) 686-6021
Mailing address
PO BOX 1648, EUGENE, OR 97440-1648
(541) 342-2134
(541) 686-6021
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA162974
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578538971
NPI
—
05
—
500661551
—
OR
Enumeration date
02/20/2006
Last updated
01/09/2014
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