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General NPI Number Information
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NPI Number | 1700898723
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Entity Type | Individual
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Provider Name | KELVIN CHIU YU MD
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Gender | Male
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 5050 NE HOYT ST STE 651
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City | PORTLAND
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State | OR
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Zip | 97213-2954
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Country | US
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Telephone | 503-935-8700
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Fax | 503-935-8701
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Provider Business Mailing Address
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Address Line | 541 NE 20TH AVE STE 225
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City | PORTLAND
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State | OR
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Zip | 97232-2895
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Country | US
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Telephone | 503-963-2801
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Fax | 503-963-2825
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD20421
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | MD20421
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License Number State | OR
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