Chan, Jessica K
Chan, Jessica K is an individual health care provider with primary practice located at 700 Ne 87Th Ave , Vancouver WA 98664-1913. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Chan, Jessica K can be contacted via phone (360) 882-2778.Contact Information
Primary practice address
700 Ne 87Th Ave
Vancouver WA 98664-1913
Phone: (360) 882-2778
Fax: (360) 604-1743
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | PG162770 | Oregon |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | OP60758015 | Washington |
Profile Details
| NPI number | 1124465901 |
|---|---|
| LBN Legal business name | Chan, Jessica K |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2013 |
| Last updated | Jul 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124465901 | NPPES |
| Washington | MEDICAID | 2063530 |
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