Individual
AARON J CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 DIVISION ST, OREGON CITY, OR 97045-1527
(503) 650-6270
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD163409
OR
208M00000X
Hospitalist Physician
Primary
MD163409
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500658174
—
OR
01
—
P01261677
RR MEDICARE (PH&S)-PMG
OR
Enumeration date
04/19/2010
Last updated
03/30/2017
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