Provider Demographics
NPI:1184337065
Name:CHEN, CHELSEY N (CNM, ARNP, RN)
Entity type:Individual
Prefix:
First Name:CHELSEY
Middle Name:N
Last Name:CHEN
Suffix:
Gender:F
Credentials:CNM, ARNP, RN
Other - Prefix:
Other - First Name:CHELSEY
Other - Middle Name:
Other - Last Name:PUTERA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9135 SW BARNES RD STE 761
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97225-6777
Mailing Address - Country:US
Mailing Address - Phone:503-216-2602
Mailing Address - Fax:
Practice Address - Street 1:9135 SW BARNES RD STE 761
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225-6777
Practice Address - Country:US
Practice Address - Phone:503-216-2602
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-05
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61343187367A00000X
OR202212244NPPP367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife