Patrick Lal Chand, QMHA

Individual provider Active NPI Case Manager/Care Coordinator · Saint Helens, OR

NPI 1831434612 · NPPES record last updated Dec 4, 2012

Key facts

NPI
1831434612
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
58646 McNulty Way
Saint Helens, OR 97051-6210
Phone
(503) 397-5211
Fax
(503) 397-5373
NPI assigned
Dec 4, 2012
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X OR Yes

Addresses

Primary practice location

58646 McNulty Way
Saint Helens, OR 97051-6210

Mailing address

PO Box 1234
Saint Helens, OR 97051-8234
Phone (503) 397-5211

Other identifiers

IdentifierTypeStateIssuer
123190MedicaidOR

Other providers in Saint Helens, OR

All providers in Saint Helens, OR · Case Manager/Care Coordinator in Oregon

Sources for this page

Verify at the official NPI Registry.