Individual
OCTAVIA CRYSTAL CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
557 NW MONROE AVE, CORVALLIS, OR 97330-4721
(541) 766-6835
Mailing address
557 NW MONROE AVE, CORVALLIS, OR 97330-4721
(541) 766-6835
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
12/21/2016
Last updated
07/22/2024
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