Individual
DR. PRESTON WYATT CHADWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2441 GREAR ST NE, SALEM, OR 97301-2749
(503) 364-3321
Mailing address
2441 GREAR ST NE, SALEM, OR 97301-2749
(503) 364-3321
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
25MA09197800
NJ
207N00000X
Dermatology Physician
Primary
MD166983
OR
Other
Enumeration date
06/22/2010
Last updated
09/29/2014
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