Provider Demographics
NPI:1184081127
Name:CHAMBERLIN, STEVE (ND)
Entity type:Individual
Prefix:DR
First Name:STEVE
Middle Name:
Last Name:CHAMBERLIN
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2221 SW 1ST AVE APT 1423
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97201-5019
Mailing Address - Country:US
Mailing Address - Phone:503-702-4510
Mailing Address - Fax:
Practice Address - Street 1:8401 SE POWELL BLVD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97266-2041
Practice Address - Country:US
Practice Address - Phone:503-227-1222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-21
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3054175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath