James Clive Chesnutt
Family Doctor - Sports Medicine
4811 Meadows Rd Ste 101
Lake Oswego
, Oregon 97035-2542
James Clive Chesnutt
Family Doctor - Sports Medicine
4811 Meadows Rd Ste 101
Lake Oswego
, Oregon 97035-2542
(360) 449-1146
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- James Clive Chesnutt
- 200 Ne Mother Joseph Pl Ste 210
- Vancouver, WA
- Zip : 98664-3295
- Fax : (360) 449-1146
- Phone : (360) 254-6161
Second Address
- James Clive Chesnutt
- 4811 Meadows Rd Ste 101
- Lake Oswego, OR
- Zip : 97035-2542
- Fax : (360) 449-1146
- Phone : (360) 254-6161
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Is James Clive Chesnutt a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | MD19344 | OR |
National Provider Identifier
| NPI | 1043225543 |
|---|---|
| Provider Name | James Clive Chesnutt |
| First Address | Vancouver, WA 98664-3295 |
| Second Address | Lake Oswego, OR 97035-2542 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/07/2006 |
| Last Update Date | 11/02/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G08090 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.