Individual
DR. TOM CHAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9205 SW BARNES RD, SUITE MT 2800, PORTLAND, OR 97225-6603
(503) 216-2621
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD29380
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500608945
—
OR
01
—
P00795108
RR MEDICARE
OR
Enumeration date
11/15/2007
Last updated
02/19/2021
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