MEDICARE: DR. WILEY VERNON CHAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	OR MD13983	OR
2	207R00000X	Internal Medicine Physician	WA MD00034553	WA

General Provider Information

NPI Number	:	1669588828
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILEY VERNON CHAN MD

Provider Business Mailing Address
First Line	:	500 NE MULTNOMAH ST
Second Line	:	SUITE 100, KPB-2
City	:	PORTLAND
State	:	OR
Zip	:	97232-2023
Country	:	US
Telephone Number	:	503-813-3860
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 NE MULTNOMAH ST
Second Line	:	SUITE 100, KPB-2
City	:	PORTLAND
State	:	OR
Zip	:	97232-2023
Country	:	US
Telephone Number	:	503-813-3860
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2006
Last Update Date	:	08/08/2015

Similar Medicare Providers

1487642047 — LAURA L WOZNIAK LCSW
Practice Location Address:

500 NE MULTNOMAH ST , SUITE 100
PORTLAND, OR
97232-2023

Practice Phone: 503-643-7565
Practice Fax:

1891733028 — REBECCA K STEPANIAK M.D.
Practice Location Address:

500 NE MULTNOMAH ST , SUITE 100
PORTLAND, OR
97232-2023

Practice Phone: 503-813-2355
Practice Fax: 503-813-3555

1366456303 — DR. MATTHEW GRAHAM ANTONY D.D.S.
Practice Location Address:

500 NE MULTNOMAH ST , SUITE 100
PORTLAND, OR
97232-2023

Practice Phone: 505-813-4970
Practice Fax:

1659384196 — DR. ANDREW MARK LUM M.D.
Practice Location Address:

500 NE MULTNOMAH ST , SUITE 100
PORTLAND, OR
97232-2023

Practice Phone: 503-813-2800
Practice Fax: 503-813-2980

1780697243 — DR. ROBERT STEVEN UNITAN M.D.
Practice Location Address:

500 NE MULTNOMAH ST
PORTLAND, OR
97232-2023

Practice Phone: 503-813-3860
Practice Fax:

1184637548 — JEFFREY CRAIG HULSE CRNA
Practice Location Address:

500 NE MULTNOMAH ST
PORTLAND, OR
97232-2023

Practice Phone: 503-813-2000
Practice Fax:

Directions to “ DR. WILEY VERNON CHAN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.