Provider Demographics
NPI:1760933782
Name:CARPENTER, CHANTAL (ND)
Entity type:Individual
Prefix:DR
First Name:CHANTAL
Middle Name:
Last Name:CARPENTER
Suffix:
Gender:F
Credentials:ND
Other - Prefix:MS
Other - First Name:CHANTAL
Other - Middle Name:
Other - Last Name:STECKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2845 SW BOUNDARY ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-2000
Mailing Address - Country:US
Mailing Address - Phone:717-841-6597
Mailing Address - Fax:
Practice Address - Street 1:6118 SE BELMONT ST STE 511
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97215-1983
Practice Address - Country:US
Practice Address - Phone:971-220-2169
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-14
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR4014175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath