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Jessica K Chan

Geriatric Medicine

700 Ne 87th Ave
Vancouver , Washington 98664-1913

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Jessica K Chan

Geriatric Medicine

700 Ne 87th Ave
Vancouver , Washington 98664-1913

(360) 882-2778

Write a Review Save Call

Jessica K Chan

Geriatric Medicine

700 Ne 87th Ave
Vancouver , Washington 98664-1913

(360) 882-2778 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Geriatric Medicine

Languages spoken

  • English

Location

700 Ne 87th Ave Vancouver , Washington 98664-1913

First Address

  • Jessica K Chan
  • Po Box 873010
  • Vancouver, WA
  • Zip : 98687-3010
  • Phone : (360) 882-2778

Second Address

  • Jessica K Chan
  • 700 Ne 87th Ave
  • Vancouver, WA
  • Zip : 98664-1913
  • Fax : (360) 604-1743
  • Phone : (360) 882-2778

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FAQs


Where did Jessica K Chan attend graduate school?

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Where did Jessica K Chan do her residency?

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Where did Jessica K Chan do her fellowship?

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Is Jessica K Chan board certified?

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What type of doctor is Jessica K Chan

Geriatric Medicine

In what state does Jessica K Chan practice in?

Washington

Where is Jessica K Chan ’s practice located?

700 Ne 87th Ave , Vancouver, Washington, 98664-1913

What is Jessica K Chan ’s gender?

Female

Is Jessica K Chan a sole practitioner?

No

Is Jessica K Chan accepting new patients?

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What languages does Jessica K Chan speak?

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Does Jessica K Chan accept insurance?

Yes, Jessica K Chan accepts insurance

Does Jessica K Chan offers telemedicine?

Jessica K Chan has not indicated if she offers telemedicine

What is Jessica K Chan ’s professional license number?

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What is Jessica K Chan ’s NPI number?

1124465901

Does Jessica K Chan have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207RG0300X Geriatric Medicine OP60758015 WA

National Provider Identifier

NPI 1124465901
Provider Name Jessica K Chan
First Address Vancouver, WA 98687-3010
Second Address Vancouver, WA 98664-1913
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 03/06/2013
Last Update Date 29/08/2017

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
2063530 (05) WA

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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