Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | 13095 | NV |
Y | 207L00000X | Anesthesiologist | MD191272 | OR |
NPI | 1013160274 |
---|---|
Provider Name | Dr. Jeff Chen |
First Address | Portland, OR 97239-3011 |
Second Address | Portland, OR 97239-3011 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/10/2008 |
Last Update Date | 11/07/2019 |