Active NPI
Joe Mun-Jung Chan, MD
- Diagnostic Radiology Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD27584
- Practice address
- 3181 SW Sam Jackson Park Rd # L-340
Portland, OR 97239-3011 - Phone
- (503) 494-5266
- NPI assigned
- Jul 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD27584 | OR | Primary |
Addresses
Primary practice location
3181 SW Sam Jackson Park Rd # L-340
Portland, OR 97239-3011
Mailing address
8425 SW Monica CT
Portland, OR 97223-2109
Phone (503) 975-5894
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110713000880 | OR | Practitioner - Diagnostic Radiology | 0143498352 | Reassigns benefits to 6 organizations |
| I20260130003428 | WA | Practitioner - Diagnostic Radiology | 0143498352 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Oregon Health Sciences University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tualatin Imaging PCThe Vancouver Clinic Inc PS
Practice addresses (Care Compare)
19300 SW 65TH Ave
Tualatin, OR 97062-7706
Phone (503) 692-7447
700 NE 87TH Ave
Vancouver, WA 98664-1913
Phone (360) 882-2778
Hospital & facility affiliations
- Legacy Meridian Park Medical Center
- Ohsu Hospital and Clinics
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.82 of 100
- Quality
- 64.68
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 47.05
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD27584 | OR | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Healthcare Services Inc | Current | Accepting new patients | |
| Grande Ronde Hospital, Inc. | Current | Accepting new patients | |
| Good Shepherd Health Care System | Current | Accepting new patients | |
| Grande Ronde Hospital, Inc. | Current | Accepting new patients | |
| The Vancouver Clinic Inc PS | Current | Accepting new patients | |
| Willamette Radiology Billing Services LLC | Diagnostic Radiology | Current | Accepting new patients |
| The Vancouver Clinic Inc PS | Current | Accepting new patients | |
| Tualatin Imaging P C | Diagnostic Radiology | Current | Accepting new patients |
Locations
610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400
900 Sunset Dr
La Grande, OR 97850
Phone (541) 963-8421
2700 SE Stratus Ave
McMinnville, OR 97128
Phone (503) 435-1200
3181 SW Sam Jackson Park Rd
#L340
Portland, OR 97239
Phone (503) 494-4511
3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674
19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212
700 NE 87th Ave
Vancouver, WA 98664
Phone (360) 397-1500
Organizations & group practices 10
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.
-
- Diagnostic Radiology Physician
- Tualatin, OR
- NPI 1295807055
Diagnostic Radiology, OR
-
- Diagnostic Radiology Physician
- McMinnville, OR
- NPI 1700647765
Diagnostic Radiology, OR
-
- Ambulatory Surgical Clinic/Center
- Vancouver, WA
- NPI 1306556907
-
- Ambulatory Surgical Clinic/Center
- Vancouver, WA
- NPI 1619149960
-
- Mobile Radiology Clinic/Center
- McMinnville, OR
- NPI 1740588946
-
- Rural Health Clinic/Center
- La Grande, OR
- NPI 1093296519
-
- Eyewear Supplier
- Ridgefield, WA
- NPI 1760004477
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304294400000",
"number": "1629276191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8425 SW MONICA CT",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972232109",
"telephone_number": "503-975-5894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD # L-340",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393011",
"telephone_number": "503-494-5266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "JOE",
"middle_name": "MUN-JUNG",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-06",
"last_updated": "2011-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OR",
"license": "MD27584",
"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 May 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.