Individual
ANGELICA KEIKO CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CF-SLP
Contact information
Practice address
5208 NE 122ND AVE, PORTLAND, OR 97230-1074
(925) 337-9477
Mailing address
100 N BLANDENA ST UNIT 2, PORTLAND, OR 97217-2872
(925) 337-9477
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
OR
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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