David Chan
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Portland, OR
NPI 1386480135 · NPPES record last updated Jul 2, 2024
Key facts
- NPI
- 1386480135
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 6029 SE 48TH Ave
Portland, OR 97206-6109 - Phone
- (646) 520-9718
- NPI assigned
- Jul 2, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
6029 SE 48TH Ave
Portland, OR 97206-6109
Mailing address
6029 SE 48TH Ave
Portland, OR 97206-6109
Other providers in Portland, OR
- Ashley Chan
- Brian Chan
- Candace Hope Kanani Chan
- Craig Chan
- Daniela Kit Ian Chan
- Dominic Karr Chan
- Elysia Chan
- Evan Chan
- Jessie Chan
- Joanne Chan
All providers in Portland, OR · Student in an Organized Health Care Education/Training Program 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 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.