Provider Demographics
NPI:1154556009
Name:HUNTON PHILLIPS, CHELSEA SARAH (LAC)
Entity type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:SARAH
Last Name:HUNTON PHILLIPS
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:20 NW GREENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-2062
Mailing Address - Country:US
Mailing Address - Phone:541-330-0334
Mailing Address - Fax:541-330-6635
Practice Address - Street 1:20 NW GREENWOOD AVE
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-2062
Practice Address - Country:US
Practice Address - Phone:541-330-0334
Practice Address - Fax:541-330-6635
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-21
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC00811171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist