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General NPI Number Information
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NPI Number | 1841891389
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Entity Type | Individual
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Provider Name | SIKYIN P CHAN EDD, LCSW
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Gender | Male
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Dates
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Enumeration Date | 11/02/2020
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 1498 SE TECH CENTER PL STE 300
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City | VANCOUVER
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State | WA
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Zip | 98683-5509
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Country | US
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Telephone | 503-740-8309
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Fax |
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Provider Business Mailing Address
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Address Line | 11867 SE AERIE CRESCENT RD
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City | HAPPY VALLEY
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State | OR
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Zip | 97086-4702
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Country | US
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Telephone | 503-740-8309
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Fax |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LW61183595
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | L2904
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License Number State | OR
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