Diane Marie Chavez, MA
In Home Supportive Care in Portland, OR. Individual provider (NPI-1).
NPI number1639694573
StatusActive
Last updated in NPPESAug 11, 2017
Details
- NPI
- 1639694573
- Entity type
- Individual (NPI-1)
- Name
- Diane Marie Chavez
- Credential
- MA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 11, 2017
- Last updated
- Aug 11, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
4425 Ne 65th AvePortland, OR 97218-3231
Phone 505-459-2581
Mailing address
4425 Ne 65th AvePortland, OR 97218-3231
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