Provider Demographics
NPI:1689478026
Name:CHAMBERLAIN, OLGA (CCHI CERTIFIED)
Entity type:Individual
Prefix:
First Name:OLGA
Middle Name:
Last Name:CHAMBERLAIN
Suffix:
Gender:
Credentials:CCHI CERTIFIED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13344 SOLAR DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32258-5208
Mailing Address - Country:US
Mailing Address - Phone:904-392-0221
Mailing Address - Fax:
Practice Address - Street 1:13344 SOLAR DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32258-5208
Practice Address - Country:US
Practice Address - Phone:904-392-0221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter