Individual
MARK S CHAMBERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 E 19TH ST, THE DALLES, OR 97058-3317
(360) 904-4525
Mailing address
PO BOX 746, CARSON, WA 98610-0746
(360) 904-4525
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60970556
WA
Other
Enumeration date
06/03/2019
Last updated
11/11/2023
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