Doctor Name: | FAITH CHAKERIAN |
NPI Number: | 1801253315 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CADC I |
License Number: | 04-11-04 |
Business Practice Address: | 547 Sw 7th St Newport, OR - 973654909 |
Business Phone Number: | 5415749570 |
Business Fax Number: | 5415748857 |
Mailing Address: | 1669 N Nye St, TOLEDO |
State: | OR |
Postal Code: | 973912257 |
Phone Number: | 5415749570 |
Fax Number: | 5415748857 |
NPI Enumeration Date: | 01/28/2016 |
NPI Last Update Date: | 01/28/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 04-11-04 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |