Provider Demographics
NPI:1821014150
Name:CHAMBERS, JULIE A (DC)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:A
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:A
Other - Last Name:WORKMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:1155 W LINDA AVE
Mailing Address - Street 2:STE B
Mailing Address - City:HERMISTON
Mailing Address - State:OR
Mailing Address - Zip Code:97838-9601
Mailing Address - Country:US
Mailing Address - Phone:509-440-1036
Mailing Address - Fax:509-491-3612
Practice Address - Street 1:1155 W LINDA AVE
Practice Address - Street 2:SUITE B
Practice Address - City:HERMISTON
Practice Address - State:OR
Practice Address - Zip Code:97838-9601
Practice Address - Country:US
Practice Address - Phone:509-440-1036
Practice Address - Fax:509-491-3612
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2017-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034555111N00000X
OR273346111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORR148287Medicare PIN
WAV08382Medicare UPIN