Active NPI
Chenery Alyce Maxine Whittier, ELECTROLOGIST
- Other Technician
- Fairview, OR
National Provider Identifier
1386404945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- E10237954
- Practice address
- 21901 NE Halsey St Ste 206
Fairview, OR 97024-9736 - Phone
- (503) 320-5380
- NPI assigned
- Mar 20, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | E10237954 | OR | Primary |
Addresses
Primary practice location
21901 NE Halsey St Ste 206
Fairview, OR 97024-9736
Mailing address
21901 NE Halsey St Ste 206
Fairview, OR 97024-9736
Phone (503) 320-5380
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E10237954 | OR | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710892800000",
"number": "1386404945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21901 NE HALSEY ST STE 206",
"city": "FAIRVIEW",
"state": "OR",
"postal_code": "970249736",
"telephone_number": "503-320-5380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21901 NE HALSEY ST STE 206",
"city": "FAIRVIEW",
"state": "OR",
"postal_code": "970249736",
"telephone_number": "503-320-5380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITTIER",
"first_name": "CHENERY",
"middle_name": "ALYCE MAXINE",
"credential": "ELECTROLOGIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-20",
"last_updated": "2024-03-20",
"certification_date": "2024-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "OR",
"license": "E10237954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairview, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.