Individual
JOAQUIN ANDRES CHAPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 NE 99TH AVE STE 200, PORTLAND, OR 97220-9442
(503) 963-3030
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD210193
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2063317
—
WA
05
—
500709963
—
OR
Enumeration date
03/20/2016
Last updated
11/22/2024
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