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Contact Information

STACY H CHAVEZ, DA
12750 SE STARK ST BLDG E
PORTLAND, OR97233-1539
 Phone: 971-347-3009
 Fax: 971-256-3277
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Assistant

126800000X
Indicates primary specialty

NPI Profile & details for STACY H CHAVEZ · (Female)

NPI Number 1851056832
Status Active
Credentials DA
Entity Individual
Enumeration date 11/03/2021
Last updated 01/28/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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