Search › Oregon › 101YA0400X
Korben Chesnut-Petry, CADC 1
NPI 1841805959 · on the registry since 2020 · sole proprietor
Practice
- Address
- 1325 Commercial St Se
Salem, OR 97302 - Phone
- (971) 301-9574
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-09-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon