Provider Demographics
NPI:1154716900
Name:MANCHESTER, CHLOE BRANDOW (DO)
Entity type:Individual
Prefix:
First Name:CHLOE
Middle Name:BRANDOW
Last Name:MANCHESTER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:CHLOE
Other - Middle Name:CONNOLLY
Other - Last Name:BRANDOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:2133 SW HARBOR PL
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97201-8021
Mailing Address - Country:US
Mailing Address - Phone:530-574-0995
Mailing Address - Fax:
Practice Address - Street 1:10201 SE MAIN ST STE 29
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97216-2937
Practice Address - Country:US
Practice Address - Phone:503-261-4475
Practice Address - Fax:503-261-4476
Is Sole Proprietor?:No
Enumeration Date:2015-03-30
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A15561207RS0012X
ORDO201267207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine