Provider Demographics
NPI:1174077200
Name:CHUHLANTSEFF, DANIELA SEIFERT
Entity type:Individual
Prefix:MRS
First Name:DANIELA
Middle Name:SEIFERT
Last Name:CHUHLANTSEFF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1655 40TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97304-1502
Mailing Address - Country:US
Mailing Address - Phone:503-559-0571
Mailing Address - Fax:
Practice Address - Street 1:1655 40TH AVE NW
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97304-1502
Practice Address - Country:US
Practice Address - Phone:503-559-0571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-05
Last Update Date:2016-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other