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Individual

MEGAN REBECCA CHAFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
16770 SW EDY RD, SHERWOOD, OR 97140-9678
(503) 216-9600
(503) 216-9650
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6644

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
201050128NP
OR
363LF0000X
Family Nurse Practitioner
Primary
201050128NP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500638198
OR
Enumeration date
07/19/2010
Last updated
02/20/2017
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