Chandler, Octavia Crystal
Chandler, Octavia Crystal is an individual health care provider with primary practice located at 557 Nw Monroe Ave , Corvallis OR 97330-4721. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Chandler, Octavia Crystal can be contacted via phone (541) 766-6835.Contact Information
Primary practice address
557 Nw Monroe Ave
Corvallis OR 97330-4721
Phone: (541) 766-6835
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1639614027 |
|---|---|
| LBN Legal business name | Chandler, Octavia Crystal |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2016 |
| Last updated | Jun 7th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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