NPI 1316488356

Jim Chea, CPO

Practitioner Prosthetist Portland, OR

Practice location

Address: 11782 SW Barnes Rd STE 160e, Portland, OR 97225-5939
Phone: (503) 641-2020
Fax: (503) 574-3274

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

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Registry record

NPI: 1316488356
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Mar 2017
Record last updated: 9 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.