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NPI Code Detail

MEDICARE: CHRISTINE CHAMBERS CCC-SLP

MEDICARE: CHRISTINE CHAMBERS CCC-SLP
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
1235Z00000XSpeech-Language PathologistLL00004666WA
2235Z00000XSpeech-Language Pathologist12945OR

General Provider Information

NPI Number : 1588823462
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE CHAMBERS CCC-SLP
Provider Business Mailing Address
First Line : 3927 NE 7TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97212-1134
Country : US
Telephone Number : 971-404-7467
Fax Number :
Provider Business Practice Location Address
First Line : 5330 NE PRESCOTT ST
Second Line :
City : PORTLAND
State : OR
Zip : 97218-2158
Country : US
Telephone Number : 503-288-6585
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2008
Last Update Date : 06/30/2010

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Directions to “ CHRISTINE CHAMBERS CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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