Individual
CHELSI RAYFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
911 NW 18TH AVE, PORTLAND, OR 97209-2324
(971) 801-1370
(971) 544-1201
Mailing address
2200 NE NEFF RD STE 204, BEND, OR 97701-4281
(541) 382-8346
(541) 382-5796
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA191997
OR
363A00000X
Physician Assistant
PA60962035
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2136955
—
WA
05
—
500778545
—
OR
Enumeration date
12/23/2017
Last updated
11/18/2024
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