Provider Demographics
NPI:1578437935
Name:EWING, CHELSEA (RN)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:EWING
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7005 NE HIGHWAY 240
Mailing Address - Street 2:
Mailing Address - City:YAMHILL
Mailing Address - State:OR
Mailing Address - Zip Code:97148-8534
Mailing Address - Country:US
Mailing Address - Phone:503-347-0318
Mailing Address - Fax:
Practice Address - Street 1:7005 NE HIGHWAY 240
Practice Address - Street 2:
Practice Address - City:YAMHILL
Practice Address - State:OR
Practice Address - Zip Code:97148-8534
Practice Address - Country:US
Practice Address - Phone:503-347-0318
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-30
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR202101322RN163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse