Healthcare Provider Details

I. General information

NPI: 1851968838
Provider Name (Legal Business Name): CHELSEY MCCAULEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2021
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1555 S HIGHWAY 97
REDMOND OR
97756-9652
US

IV. Provider business mailing address

5476 WILLIAM FLYNN HWY
GIBSONIA PA
15044-9604
US

V. Phone/Fax

Practice location:
  • Phone: 541-204-4304
  • Fax: 541-640-7419
Mailing address:
  • Phone: 412-655-4362
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number10027672
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP023813
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: