Organization Active NPI

Lillian Chan, ND, LLC

  • Naturopath
  • Portland, OR
National Provider Identifier
1245600014
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
2032 Issued in OR
Legal business name
LILLIAN CHAN, ND, LLC
Practice address
3204 NE 25TH Ave
Portland, OR 97212-2503
Phone
(503) 705-3670
NPI assigned
Oct 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Authorized official

Name
Dr. Lillian Chan, NDNPI 1912399213
Title
Naturopathic Physician
Phone
(503) 778-0885

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193400000X SINGLE SPECIALTY GROUP 175F00000X 2032 OR Primary

Addresses

Primary practice location

3204 NE 25TH Ave
Portland, OR 97212-2503

Mailing address

316 NE 19TH Ave
Portland, OR 97232-2829
Phone (503) 778-0885

National Provider Directory

National Provider Directory

Locations

316 NE 19th Ave
Portland, OR 97232
Phone (503) 778-0885

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1245600014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 NE 19TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322829",
            "telephone_number": "503-778-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 NE 25TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972122503",
            "telephone_number": "503-705-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILLIAN CHAN, ND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-05",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_title_or_position": "NATUROPATHIC PHYSICIAN",
        "authorized_official_telephone_number": "503-778-0885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": "OR",
            "license": "2032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.