Joanne Chan, is a
Psychologist - Clinical based in Portland, Oregon. Joanne Chan is licensed to practice in Oregon (license number 3074) and her current practice location is
3181 Sw Sam Jackson Park Rd, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 494-6176.
NPI number for Joanne Chan is 1902943491 and her current mailing address is 1400 Sw 5th Ave Ste 500, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902943491.
Healthcare Provider's Profile
Full Name | Joanne Chan |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1902943491
- Provider Enumeration Date: 01/31/2007
- Last Update Date: 06/20/2024
Medical Identifiers
Medical identifiers for Joanne Chan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902943491 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | 3074 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Joanne Chan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Joanne Chan, 1400 Sw 5th Ave Ste 500, Portland, OR 97201-5537 Ph: (866) 617-6855 | Joanne Chan, 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 494-6176 |
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