Provider Demographics
NPI:1215193156
Name:CHESTER, GENE RICHARD (ND)
Entity Type:Individual
Prefix:DR
First Name:GENE
Middle Name:RICHARD
Last Name:CHESTER
Suffix:
Gender:M
Credentials:ND
Other - Prefix:DR
Other - First Name:RICK
Other - Middle Name:
Other - Last Name:CHESTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ND
Mailing Address - Street 1:205 N PACIFIC HWY
Mailing Address - Street 2:
Mailing Address - City:TALENT
Mailing Address - State:OR
Mailing Address - Zip Code:97540-9637
Mailing Address - Country:US
Mailing Address - Phone:541-535-5843
Mailing Address - Fax:
Practice Address - Street 1:205 N PACIFIC HWY
Practice Address - Street 2:
Practice Address - City:TALENT
Practice Address - State:OR
Practice Address - Zip Code:97540-9637
Practice Address - Country:US
Practice Address - Phone:541-535-5843
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-30
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1081175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath