Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0102X | Surgical Critical Care | MD176385 | OR |
Y | 2086S0127X | Trauma Surgeon | MD176385 | OR |
NPI | 1285802009 |
---|---|
Provider Name | Albert Chi |
First Address | Portland, OR 97215-3825 |
Second Address | Portland, OR 97239-3011 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2008 |
Last Update Date | 26/07/2017 |