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NPI Code Detail

MEDICARE: MICHAELA ANGELIQUE CHUA GO

MEDICARE: MICHAELA ANGELIQUE CHUA GO
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
1207P00000XEmergency Medicine PhysicianA202499CA
2207P00000XEmergency Medicine PhysicianMD214993OR

General Provider Information

NPI Number : 1245859206
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAELA ANGELIQUE CHUA GO
Provider Business Mailing Address
First Line : 506 6TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11215-3609
Country : US
Telephone Number : 718-780-3000
Fax Number :
Provider Business Practice Location Address
First Line : 3710 SW US VETERANS HOSPITAL RD
Second Line :
City : PORTLAND
State : OR
Zip : 97239-2964
Country : US
Telephone Number : 503-220-8262
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2020
Last Update Date : 06/02/2026

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Directions to “ MICHAELA ANGELIQUE CHUA GO ” Practice Location

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