Individual
MR. ERLING Y CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
342 FAIRVIEW ST, SILVERTON, OR 97381
(503) 873-1500
Mailing address
342 FAIRVIEW ST, #241, SILVERTON, OR 97381-1917
(503) 873-1705
(503) 873-1707
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
091006942
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067632
—
OR
01
—
807251002
REGENCE BCBSO
OR
Enumeration date
06/08/2006
Last updated
12/20/2016
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