Cynthia Chan, LMP

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA00025342 Issued in WA

Practice address

840 SE Bayshore Dr
Suite 204
Oak Harbor, WA 98277-4062

Phone

(360) 544-5852

Fax

(360) 544-5852

NPI assigned

Mar 4, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Cynthia Chan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1023288263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 SAGE LN",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982778841",
            "telephone_number": "360-544-5852",
            "fax_number": "360-544-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 SE BAYSHORE DR",
            "address_2": "SUITE 204",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982774062",
            "telephone_number": "360-544-5852",
            "fax_number": "360-544-5852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "CYNTHIA",
        "name_prefix": "Mrs.",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00025342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "CHAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marie Ceya
• Benjamin Chadek-Feeley, DO
• Nancy Fay Chadwick
• Victoria L Champagne, RPSGT, CCSH
• Colleen Chan, LSWAIC
• M Colette Chandler, PA C
• Frank Amos Chapman, MD, MPH
• Ashish Chaudhary, PA-C
• Shelly Chavez, DNP
• Isabel Cheeks

• Specialist in Oak Harbor, WA
• Providers in Oak Harbor, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.