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Individual

PATRICK LAL CHAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
QMHA

Contact information

Practice address
58646 MCNULTY WAY, SAINT HELENS, OR 97051-6210
(503) 397-5211
(503) 397-5373
Mailing address
PO BOX 1234, SAINT HELENS, OR 97051-8234
(503) 397-5211
(503) 397-5373

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
123190
OR
Enumeration date
12/04/2012
Last updated
12/04/2012
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