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Jessica K Chan, DO
Geriatric Medicine (Internal Medicine) Physician in Vancouver, Washington
NPI 1124465901

Jessica K Chan is a Geriatric Medicine (Internal Medicine) Physician based in Vancouver, WA and is specialized in Geriatric Medicine. Jessica K Chan practices in Vancouver, WA and has the professional credentials of DO. The NPI Number for Jessica K Chan is 1124465901 and holds a License No. PG162770 (Washington).

The current practice location address for Jessica K Chan is 700 Ne 87Th Ave, Vancouver, WA and can be reached out via phone at 360-882-2778 and via fax at 360-604-1743. You can also correspond with Jessica K Chan through the mailing address at PO BOX 873010, VANCOUVER, WA - 98687-3010 (mailing address contact number: 360-882-2778).

Location: 700 Ne 87Th Ave, Vancouver, WA, 98687-3010
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124465901
Provider Name
Jessica K Chan
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
700 Ne 87Th Ave, Vancouver, WA, 98687-3010
Phone Number
360-882-2778
Fax Number
360-604-1743
Provider Enumeration Date
06/03/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2063530 05 WA
institution
Provider Business Practice Location Address Details
Address
700 Ne 87Th Ave
City
Vancouver
State
Washington
Zip
98664-1913
Phone Number
360-882-2778
Fax Number
360-604-1743
person
Provider Business Mailing Address Details
Address
700 Ne 87Th Ave
City
Vancouver
State
Washington
Zip
98664-1913
Phone Number
360-882-2778
Fax Number
360-604-1743
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Geriatric Medicine
Taxonomy
207RG0300X
License No.
OP60758015 (Washington)
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
PG162770 (Oregon)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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