Provider Demographics
NPI:1265320840
Name:CHAMBERLAND, MEGAN MARIE (OD)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:MARIE
Last Name:CHAMBERLAND
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WINTHROP
Mailing Address - State:ME
Mailing Address - Zip Code:04364-3332
Mailing Address - Country:US
Mailing Address - Phone:207-215-1023
Mailing Address - Fax:
Practice Address - Street 1:1083 N REDWOOD RD
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:UT
Practice Address - Zip Code:84045-5138
Practice Address - Country:US
Practice Address - Phone:801-407-4779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT14227071-9934390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program