Individual
CHALA CHIRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11010 SW 121ST AVE, TIGARD, OR 97223-3270
(503) 509-3703
Mailing address
2498 ALDINE CT NE, KEIZER, OR 97303-1905
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171W00000X
Contractor
528312
OR
172V00000X
Community Health Worker
—
—
174V00000X
Clinical Ethicist
Primary
—
—
Other
Enumeration date
06/16/2020
Last updated
03/17/2023
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