SUSAN T CHACKO

EUGENE, OR
NPI1609559210
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ  263405)
Enumeration Date2023-08-10
Last Update Date2025-02-12
Business Address
SUSAN T CHACKO
1675 W 11TH AVE
EUGENE, OR 97402-3711
Phone number: 480-719-0098
Mailing Address
SUSAN T CHACKO
4771 CALUMET WAY
EUGENE, OR 97404-3306
Phone number:
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