Provider Demographics
NPI:1578510707
Name:CHATROUX, SYLVIA S (MD)
Entity Type:Individual
Prefix:DR
First Name:SYLVIA
Middle Name:S
Last Name:CHATROUX
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 W HERSEY ST #1
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-1854
Mailing Address - Country:US
Mailing Address - Phone:541-482-7047
Mailing Address - Fax:541-552-1009
Practice Address - Street 1:400 W HERSEY ST #1
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-1854
Practice Address - Country:US
Practice Address - Phone:541-482-7047
Practice Address - Fax:541-552-1009
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD17058207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR027842Medicaid
ORR134421Medicare PIN
ORR134420Medicare PIN
OR027842Medicaid