Individual
LISA CHAMBLESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2145 CENTENNIAL PLZ, EUGENE, OR 97401-2421
(541) 684-6825
Mailing address
2145 CENTENNIAL PLZ, EUGENE, OR 97401-2421
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
098000371RN
OR
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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