Healthcare Provider Details

I. General information

NPI: 1750509782
Provider Name (Legal Business Name): TAMMY MARIE CHATFIELD MA MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

182 SW ACADEMY
DALLAS OR
97338
US

IV. Provider business mailing address

182 SW ACADEMY
DALLAS OR
97303
US

V. Phone/Fax

Practice location:
  • Phone: 503-623-9289
  • Fax:
Mailing address:
  • Phone: 503-623-9289
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC2571
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: