Individual
MR. MARK T CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10180 SE SUNNYSIDE RD, DEPT OF ALLERGY, CLACKAMAS, OR 97015-8970
(503) 571-2724
Mailing address
10180 SE SUNNYSIDE RD, DEPT OF ALLERGY, CLACKAMAS, OR 97015-8970
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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