Provider Demographics
NPI:1033604913
Name:DESELMS, CHELSEA (APRN, FNP-C, CFMP)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:DESELMS
Suffix:
Gender:F
Credentials:APRN, FNP-C, CFMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:617 N MAIN ST.
Mailing Address - Street 2:
Mailing Address - City:NEWBERG
Mailing Address - State:OR
Mailing Address - Zip Code:97132
Mailing Address - Country:US
Mailing Address - Phone:503-476-1431
Mailing Address - Fax:855-247-1666
Practice Address - Street 1:617 N. MAIN ST.
Practice Address - Street 2:
Practice Address - City:NEWBERG
Practice Address - State:OR
Practice Address - Zip Code:97132
Practice Address - Country:US
Practice Address - Phone:503-476-1431
Practice Address - Fax:855-247-1666
Is Sole Proprietor?:No
Enumeration Date:2018-06-24
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201804757NP-PP207Q00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily