Individual
AMY CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
410 MAIN ST, NYSSA, OR 97913-3973
(541) 372-2211
(541) 372-2583
Mailing address
PO BOX 1726, NYSSA, OR 97913-0226
(541) 372-2211
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/13/2017
Last updated
02/15/2018
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