Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175F00000X | Naturopath | 1116 | OR |
NPI | 1104955871 |
---|---|
Provider Name | Dr. Loch Stephen Chandler |
First Address | Portland, OR 97213-3052 |
Second Address | Portland, OR 97213-3052 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2007 |
Last Update Date | 08/07/2007 |