Individual
PHILIP CHADWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24800 SE STARK ST, GRESHAM, OR 97030-3378
(503) 464-9034
Mailing address
6312 SW CAPITOL HWY, #502, PORTLAND, OR 97239-1938
(503) 464-9034
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD19305
OR
Other
Enumeration date
06/03/2006
Last updated
03/02/2016
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