Individual
DR. WILEY VERNON CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 NE MULTNOMAH ST, SUITE 100, KPB-2, PORTLAND, OR 97232-2023
(503) 813-3860
Mailing address
500 NE MULTNOMAH ST, SUITE 100, KPB-2, PORTLAND, OR 97232-2023
(503) 813-3860
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OR MD13983
OR
207R00000X
Internal Medicine Physician
WA MD00034553
WA
Other
Enumeration date
08/21/2006
Last updated
08/08/2015
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