Healthcare Provider Details

I. General information

NPI: 1144167511
Provider Name (Legal Business Name): CHADWICK V. CABE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2026
Last Update Date: 05/02/2026
Certification Date: 05/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9880 NE GIBBS DR APT 506
HILLSBORO OR
97006-7085
US

IV. Provider business mailing address

9880 NE GIBBS DR APT 506
HILLSBORO OR
97006-7085
US

V. Phone/Fax

Practice location:
  • Phone: 702-283-2842
  • Fax:
Mailing address:
  • Phone: 702-283-2842
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number200840392RN
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: