Individual
CHELSI MORAVETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2214 NE DIVISION ST STE 101, BEND, OR 97703-3551
(541) 241-3109
Mailing address
2141 NORTHEAST DIVISION ST. SUITE 101, BEND, OR 97701
(541) 241-3109
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
R7764
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427504
STATE ID
OR
Enumeration date
08/12/2022
Last updated
08/12/2022
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