Provider Demographics
NPI:1598912503
Name:MCHATTIE, JENNIFER LEANNE (DC)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:LEANNE
Last Name:MCHATTIE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:875 SW RIMROCK WAY STE 103
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:OR
Mailing Address - Zip Code:97756-2565
Mailing Address - Country:US
Mailing Address - Phone:541-316-6010
Mailing Address - Fax:541-203-7951
Practice Address - Street 1:875 SW RIMROCK WAY STE 103
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:OR
Practice Address - Zip Code:97756-2565
Practice Address - Country:US
Practice Address - Phone:541-316-6010
Practice Address - Fax:541-203-7951
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-20
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR4095111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor