Provider Demographics
NPI:1962000158
Name:CHMELIK, MEGAN (ND)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:
Last Name:CHMELIK
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19699 MOUNTAINEER WAY # F130
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-3157
Mailing Address - Country:US
Mailing Address - Phone:480-707-8445
Mailing Address - Fax:
Practice Address - Street 1:497 SW CENTURY DR STE 120
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-1167
Practice Address - Country:US
Practice Address - Phone:503-389-5794
Practice Address - Fax:877-917-1809
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-11
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR4362175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath