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Individual

ROBERT J CHESTLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10502 NE WASCO ST, PORTLAND, OR 97220-3948
(503) 252-2467
(503) 252-0670
Mailing address
10502 NE WASCO ST, PORTLAND, OR 97220-3948
(503) 252-2467
(503) 252-0670

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
16214
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
13545
OR
Enumeration date
09/20/2005
Last updated
09/24/2009
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