Individual
MRS. KRISTEN MARIE CHAPIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6418 SE 83RD AVE, PORTLAND, OR 97266-5431
(503) 380-5005
Mailing address
6418 SE 83RD AVE, PORTLAND, OR 97266-5431
(503) 380-5005
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
6422
OR
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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