Individual
DR. CHASE GARRETT WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DAOM, MTCM, LAC,
Contact information
Practice address
4160 NE SANDY BLVD, PORTLAND, OR 97212-5336
(503) 249-9000
Mailing address
879 41ST AVE, SANTA CRUZ, CA 95062-4420
(831) 428-3198
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC17367
CA
171100000X
Acupuncturist
Primary
AC186066
OR
Other
Enumeration date
12/11/2016
Last updated
01/20/2021
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