Individual provider Active NPI

Cher Yao Chen, MD

  • Psychiatry Physician
  • Salem, OR
National Provider Identifier
1306940531
Registry record updated Jun 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD25842 Issued in OR
Practice address
2605 State St
Salem, OR 97310-5908
Phone
(971) 301-3517
NPI assigned
Sep 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD25842 OR Primary

Addresses

Primary practice location

2605 State St
Salem, OR 97310-5908

Mailing address

11420 SW Shrope CT
Portland, OR 97223-4071
Phone (703) 785-3440

Other names 1

  • Cher Yao Chen Chen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051008000231 OR Practitioner - PsychiatryPractitioner - Addiction Medicine 7911922984 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Hospital Corvallis CurrentSince Sep 1, 2015 Accepting new patients
Lifeworks NW CurrentSince Aug 23, 2017 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Sep 1, 2015 Accepting new patients

Locations

3600 NW Samaritan Dr
Ste 227
Corvallis, OR 97330
Phone (541) 768-1261

3517 NW Samaritan Dr
Ste 101
Corvallis, OR 97330
Phone (541) 753-2205

971 SW Walnut St
Hillsboro, OR 97123
Phone (503) 640-5297

5240 NE Elam Young Pkwy
Ste 700
Hillsboro, OR 97124

5415 SW Westgate Dr
Portland, OR 97221
Phone (503) 645-9010

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654300800000",
    "number": "1306940531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11420 SW SHROPE CT",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972234071",
            "telephone_number": "703-785-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 STATE ST",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973105908",
            "telephone_number": "971-301-3517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "CHER YAO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2022-06-04",
        "certification_date": "2022-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD25842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHER YAO",
            "last_name": "CHEN CHEN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.