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NPI Code Detail

MEDICARE: CHELSEA RUHOFF LEE PA-C

MEDICARE: CHELSEA RUHOFF LEE PA-C
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1821229774
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEA RUHOFF LEE PA-C
Provider Business Mailing Address
First Line : 1000 SE UGLOW
Second Line : FLAMING MEDICAL CENTER
City : DALLAS
State : OR
Zip : 97338
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1000 SE UGLOW AVE
Second Line :
City : DALLAS
State : OR
Zip : 97338-2645
Country : US
Telephone Number : 503-623-8376
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2009
Last Update Date : 11/16/2020

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Directions to “ CHELSEA RUHOFF LEE PA-C” Practice Location

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