Chan, Theresa

Chan, Theresa is an individual health care provider with primary practice located at 2825 E Barnett Road Rogue Valley Medical Center, Medford OR 97504. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Chan, Theresa can be contacted via phone (541) 789-7000.

Contact Information

Primary practice address
2825 E Barnett Road Rogue Valley Medical Center Medford OR 97504
Phone: (541) 789-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A83176 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD152431 Oregon

Profile Details

NPI number 1043254576
LBN Legal business name Chan, Theresa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jun 23rd, 2011 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1043254576 NPPES
California MEDICAID 00A831760

Popular Providers