Healthcare Provider Details

I. General information

NPI: 1942138532
Provider Name (Legal Business Name): LUDAN CHEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: COLLEEN CHEN

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11845 SW GREENBURG RD STE 210
TIGARD OR
97223-6464
US

IV. Provider business mailing address

4773 PARKVIEW DR APT B
LAKE OSWEGO OR
97035-2428
US

V. Phone/Fax

Practice location:
  • Phone: 971-264-0952
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: