Individual
BRIAN CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8211
Mailing address
1431 DOLORES ST, APT 2, SAN FRANCISCO, CA 94110-4320
(858) 922-9801
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
PG159342
OR
Other
Enumeration date
04/29/2010
Last updated
05/27/2015
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