THEODORE PHILLIP CHASE

PENDLETON, OR
NPI1154538676
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
Enumeration Date2007-05-16
Last Update Date2007-07-08
Business Address
MR. THEODORE PHILLIP CHASE PMHNP
2500 WESTGATE
PENDLETON, OR 97801-9606
Phone number: 541-278-7128
Mailing Address
MR. THEODORE PHILLIP CHASE PMHNP
1902 SW 45TH ST
PENDLETON, OR 97801-4251
Phone number: 541-276-9680
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