Individual provider Active NPI

Joe Mun-Jung Chan, MD

  • Diagnostic Radiology Physician
  • Portland, OR
National Provider Identifier
1629276191
Registry record updated May 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD27584 Issued in OR
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

Updated by the provider on May 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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 PCGroup PAC ID 8123011392, 18 clinicians
The Vancouver Clinic Inc PSGroup PAC ID 3173436490, 580 clinicians

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 Hospital, Tualatin, OR, CCN 380089
  • Ohsu Hospital and Clinics Hospital, Portland, OR, CCN 380009

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
77.82 of 100Reported as group
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

LicenseStateTypeSpecialty
MD27584ORMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Healthcare Services Inc CurrentSince Jun 15, 2024 Accepting new patients
Grande Ronde Hospital, Inc. CurrentSince May 3, 2025 Accepting new patients
Good Shepherd Health Care System CurrentSince Nov 29, 2023 Accepting new patients
Grande Ronde Hospital, Inc. CurrentSince May 3, 2025 Accepting new patients
The Vancouver Clinic Inc PS CurrentSince Feb 10, 2026 Accepting new patients
Willamette Radiology Billing Services LLC Diagnostic Radiology CurrentSince Mar 26, 2024 Accepting new patients
The Vancouver Clinic Inc PS CurrentSince Feb 10, 2026 Accepting new patients
Tualatin Imaging P C Diagnostic Radiology CurrentSince Jun 1, 2019 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.

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

Verify at the official NPI Registry.