Individual provider · Type 1 NPI

Randy Chesley

Mental Health Counselor · Portland, OR

NPI number 1174996979 Active

Practice location

847 NE 19th Ave, Suite 100
Portland, OR 97232

Call (503) 238-0769 Map

Mailing address

PO Box 8459
Portland, OR 97207

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X18-10-14 (OR)
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1174996979

Randy Chesley's National Provider Identifier is 1174996979, issued on Nov 3, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Dec 3, 2018.