Individual
WESLEY L CHERNIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6723 SE 15TH AVE, #82832, PORTLAND, OR 97202
(503) 509-6204
Mailing address
822 N WINCHELL ST, PORTLAND, OR 97217-1142
(503) 509-6204
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
015785
OR
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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