Individual
MS. VIVIAN CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 NE 87TH AVE STE 250, VANCOUVER, WA 98664-1965
(360) 514-1010
Mailing address
505 NE 87TH AVE STE 250, VANCOUVER, WA 98664-1965
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
61153994
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/18/2019
Last updated
04/27/2021
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