LAARNIE DANTE CHACO Physician Assistant
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1568760551- Provider Type
- Individual Provider (NPI-1)
- Credentials
- Physician Assistant
- Status
- Active
Contact & Location
- Address
- 689 NW BURNSIDE RD, GRESHAM, OR, 970303739
- Phone
- (503) 382-8100
- Fax
- (503) 382-8120
Specialties & Taxonomies
Physician Assistant
License: CA #PA21444
Physician Assistant
Primary License: OR #PA176646