person
Candace Hope Kanani Chan
Student in an Organized Health Care Education/Training Program in Portland, Oregon
NPI 1639897754

Candace Hope Kanani Chan is a Student in an Organized Health Care Education/Training Program based in Portland, OR. Candace Hope Kanani Chan practices in Portland, OR. The NPI Number for Candace Hope Kanani Chan is 1639897754 and holds a License No. (Oregon).

The current practice location address for Candace Hope Kanani Chan is 3181 Sw Sam Jackson Park Rd, Portland, OR and can be reached out via phone at 808-271-2983.

Location: 3181 Sw Sam Jackson Park Rd, Portland, OR, 97239-3011
person
Provider Profile Details
NPI Number
1639897754
Provider Name
Candace Hope Kanani Chan
Credential
Provider Entity Type
Individual
Gender
Female
Address
3181 Sw Sam Jackson Park Rd, Portland, OR, 97239-3011
Phone Number
808-271-2983
Fax Number
Provider Enumeration Date
08/15/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
IN401O2T 05 OR
institution
Provider Business Practice Location Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239-3011
Phone Number
808-271-2983
Fax Number
person
Provider Business Mailing Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239-3011
Phone Number
808-271-2983
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
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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