Chandni Merchant, M.D.
Individual provider Active NPI Internal Medicine Physician · McMinnville, OR
NPI 1366857724 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1366857724
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MD180487 (OR)
- Practice address
- 254 NE Norton LN
McMinnville, OR 97128-8470 - Phone
- (503) 472-9002
- NPI assigned
- Jun 24, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170911001129 | OR | Practitioner - Internal Medicine | 9335412519 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willamette Valley Clinics LLC | Internal Medicine | Current |
Accepting new patients |
Locations
2700 SE Stratus Ave
McMinnville, OR 97128
Phone (503) 435-1200
2700 SE Stratus Ave
Unit 402
McMinnville, OR 97128
Phone (503) 434-1110
254 NE Norton Ln
McMinnville, OR 97128
Phone (503) 472-6161
2700 SE Stratus Ave
Unit 302
McMinnville, OR 97128
Phone (503) 474-2565
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | MD180487 | OR | Yes |
Addresses
Primary practice location
254 NE Norton LN
McMinnville, OR 97128-8470
Mailing address
254 NE Norton Lane
McMinnville, OR 97128
Phone (503) 472-9002
Other providers in McMinnville, OR
- Maira Elizabeth Mejia Lopez
- Brandi Acacia Mendonca
- Ruthellen Mendoza
- Bridget A Meneley
- Rosa Mercado
- Jerilee Merkle
- Morgan Olivia Merriman
- Catherine Lynn Messner
- Madeline Meyer
- Richard Meyer
All providers in McMinnville, OR · Internal Medicine Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.