Provider Demographics
NPI:1427448232
Name:FALK, CHELSIE LOUISE (ND)
Entity type:Individual
Prefix:DR
First Name:CHELSIE
Middle Name:LOUISE
Last Name:FALK
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1435 SE GLENWOOD ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97202-5610
Mailing Address - Country:US
Mailing Address - Phone:971-340-6792
Mailing Address - Fax:
Practice Address - Street 1:1435 SE GLENWOOD ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97202-5610
Practice Address - Country:US
Practice Address - Phone:971-340-6792
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-31
Last Update Date:2015-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR2083175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath