Individual
CHRISTINE CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
131 NW HAWTHORNE AVE STE 101, BEND, OR 97703-2957
(541) 604-8255
Mailing address
3534 NW BRAID DR, BEND, OR 97703-8695
(214) 924-3157
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
016218
OR
Other
Enumeration date
04/14/2019
Last updated
04/14/2019
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