Provider Demographics
NPI:1235424441
Name:FRENCH, CHELSEA ANA (LMT)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:ANA
Last Name:FRENCH
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2734 SE 47TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97206-1547
Mailing Address - Country:US
Mailing Address - Phone:503-318-7954
Mailing Address - Fax:503-235-8758
Practice Address - Street 1:4050 NE BROADWAY ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97232-1828
Practice Address - Country:US
Practice Address - Phone:503-318-7954
Practice Address - Fax:503-235-8758
Is Sole Proprietor?:No
Enumeration Date:2011-06-15
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR17674225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist