Individual
DANIELLE LILANN CHAZIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
335 SE 8TH AVE, HILLSBORO, OR 97123-4246
(503) 681-1860
(503) 681-1606
Mailing address
335 SE 8TH AVE, HILLSBORO, OR 97123-4246
(503) 681-1860
(503) 681-1606
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA202051
OR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/01/2019
Last updated
08/03/2022
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