Healthcare Provider Details

I. General information

NPI: 1639202138
Provider Name (Legal Business Name): ROBERT STANTON CHAPMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1233 WOODSIDE DR
EUGENE OR
97401-6463
US

IV. Provider business mailing address

1233 WOODSIDE DR
EUGENE OR
97401-6463
US

V. Phone/Fax

Practice location:
  • Phone: 541-434-2353
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD07412
License Number StateOR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier01023027A
Identifier TypeOTHER
Identifier StateIN
Identifier IssuerINDIANA STATE LICENSE #
# 2
IdentifierMD07412
Identifier TypeOTHER
Identifier StateOR
Identifier IssuerOREGON STATE LICENSE #

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: