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Ms. Vivian Chan
Surgical Physician Assistant in Vancouver, Washington
NPI 1760042006

Vivian Chan is a Surgical Physician Assistant based in Vancouver, WA and is specialized in Surgical. Vivian Chan practices in Vancouver, WA. The NPI Number for Vivian Chan is 1760042006 and holds a License No. (Washington).

The current practice location address for Vivian Chan is 505 Ne 87Th Ave Ste 250, Vancouver, WA and can be reached out via phone at 360-514-1010.

Location: 505 Ne 87Th Ave Ste 250, Vancouver, WA, 98664-1965
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760042006
Provider Name
Vivian Chan
Credential
Provider Entity Type
Individual
Gender
Female
Address
505 Ne 87Th Ave Ste 250, Vancouver, WA, 98664-1965
Phone Number
360-514-1010
Fax Number
Provider Enumeration Date
06/18/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
505 Ne 87Th Ave Ste 250
City
Vancouver
State
Washington
Zip
98664-1965
Phone Number
360-514-1010
Fax Number
person
Provider Business Mailing Address Details
Address
505 Ne 87Th Ave Ste 250
City
Vancouver
State
Washington
Zip
98664-1965
Phone Number
360-514-1010
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
61153994 (Washington)
Definition
Definition to come...
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.
()
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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