Individual
WESLEY SCOTT CHANCELLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
51340 HIGHWAY 97, LA PINE, OR 97739-9871
(541) 322-7500
(541) 322-7565
Mailing address
2577 NE COURTNEY DR, BEND, OR 97701-7752
(541) 322-7500
(541) 322-7565
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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