MEDICARE: ELSIE CHAPMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	R8710	OR

General Provider Information

NPI Number	:	1194599597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELSIE CHAPMAN

Provider Business Mailing Address
First Line	:	PO BOX 1131
Second Line	:
City	:	MOUNT ANGEL
State	:	OR
Zip	:	97362-1131
Country	:	US
Telephone Number	:	971-307-2322
Fax Number	:

Provider Business Practice Location Address
First Line	:	1106 S COMMERCIAL WAY SE
Second Line	:
City	:	ALBANY
State	:	OR
Zip	:	97322-7034
Country	:	US
Telephone Number	:	971-307-2322
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2023
Last Update Date	:	01/15/2026

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Directions to “ ELSIE CHAPMAN ” Practice Location

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