MEDICARE: CHER YAO CHEN 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	2084P0800X	Psychiatry Physician	MD25842	OR

General Provider Information

NPI Number	:	1306940531
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHER YAO CHEN MD

Provider Business Mailing Address
First Line	:	11420 SW SHROPE CT
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97223-4071
Country	:	US
Telephone Number	:	703-785-3440
Fax Number	:

Provider Business Practice Location Address
First Line	:	2605 STATE ST
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97310-5908
Country	:	US
Telephone Number	:	971-301-3517
Fax Number	:

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

Provider Enumeration Date	:	09/08/2006
Last Update Date	:	06/04/2022

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Directions to “ CHER YAO CHEN MD” Practice Location

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