LEIA V CHANCELLOR

PORTLAND, OR
NPI1679952667
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208M00000X Hospitalist
(Licence: OR  MD186855)
Additional Taxonomies207R00000X Internal Medicine
(Licence: OR  MD186855)
390200000X Student in an Organized Health Care Education/Training Program
(Licence: OR  PG172362)
Enumeration Date2015-05-22
Last Update Date2018-10-11
Business Address
LEIA V CHANCELLOR MD
10123 SE MARKET ST
PORTLAND, OR 97216-2532
Phone number: 503-261-6985
Mailing Address
LEIA V CHANCELLOR MD
PO BOX 92900
PORTLAND, OR 97292-0900
Phone number: 503-261-6985