Individual
MICHELE CHAMNESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FSS
Contact information
Practice address
377 LACLAIR ST, COOS BAY, OR 97420-4709
(650) 888-3105
Mailing address
377 LACLAIR ST, COOS BAY, OR 97420-4709
(650) 888-3105
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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