Individual
CHELSEA A GASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
5200 SW MACADAM AVE STE 100, PORTLAND, OR 97239-3843
(503) 224-1998
Mailing address
1219 NE 248TH AVE, CAMAS, WA 98607-9723
(541) 218-8864
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
247939
OR
Other
Enumeration date
03/03/2009
Last updated
10/26/2010
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