Individual
DIANE MARIE CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4425 NE 65TH AVE, PORTLAND, OR 97218-3231
(505) 459-2581
Mailing address
4425 NE 65TH AVE, PORTLAND, OR 97218-3231
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/11/2017
Last updated
08/11/2017
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