| Chay Environmenal | |
|
111 Pacific Ave N Kelso WA 98626-3446 | |
| (360) 998-2311 | |
| Not Available |
| Full Name | Chay Environmenal |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 111 Pacific Ave N, Kelso, Washington |
| Authorized Official Name and Position | Connie Kruse (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Contact | 5034106557 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chay Environmenal 22721 Mayger Heights Ln Clatskanie OR 97016-2404 Ph: (503) 410-6557 | Chay Environmenal 111 Pacific Ave N Kelso WA 98626-3446 Ph: (360) 998-2311 |
| NPI Number | 1588390835 |
|---|---|
| Provider Enumeration Date | 07/28/2022 |
| Last Update Date | 08/09/2022 |
| Certification Date | 08/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588390835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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