MR. THEODORE PHILLIP CHASE PMHNP
NPI 1154538676
Nurse Practitioner - Psychiatric/Mental Health in Pendleton, OR
Active since May 16, 2007
About Mr. Theodore Phillip Chase Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. THEODORE PHILLIP CHASE PMHNP (NPI 1154538676) is an individual psychiatric/mental health provider in Pendleton, Oregon and active in the NPI registry since May 2007.
NPPES Registry Identity
NPI1154538676
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. THEODORE PHILLIP CHASECredential: PMHNP
Location Address2500 WESTGATEPendleton, OR 97801-9606
Mailing Address1902 Sw 45th StPendleton, OR 97801-4251 · (541) 276-9680
Phone(541) 278-7128
Sole ProprietorYes
Enumeration DateMay 16, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1154538676 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
2500 WESTGATE, Pendleton, OR 97801
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Nurse Practitioner (Psychiatric/Mental Health)
2500 WESTGATE
PENDLETON, OR 97801
PENDLETON, OR 97801
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154538676, enumerated as an "individual" on May 16, 2007.
The provider is located at 2500 WESTGATE PENDLETON, OR 97801 and the phone number is (541) 278-7128.
Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.
