Individual
DR. JAMES PATRICK CHESLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1817 MEADE ST, NORTH BEND, OR 97459-3442
(541) 756-2727
(541) 756-7064
Mailing address
1817 MEADE ST, NORTH BEND, OR 97459-3442
(541) 756-2727
(541) 756-7064
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1820ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143693
—
OR
Enumeration date
12/29/2006
Last updated
05/07/2010
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