MR. THERONE CAMBA CHAN BS
NPI 1295161701
Counselor - Mental Health in Medford, OR

Active since September 17, 2013
3501 EXCEL DR, MEDFORD, OR 97504(541) 476-2373 Get Directions Write a Review

NPPES record last updated: June 21, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Therone Camba Chan Bs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. THERONE CAMBA CHAN BS (NPI 1295161701) is an individual mental health provider in Medford, Oregon and active in the NPI registry since September 2013. He maintains a secondary practice location in Medford.

NPPES Registry Identity

NPI1295161701
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. THERONE CAMBA CHANCredential: BS
Location Address3501 EXCEL DRMedford, OR 97504-8067
Mailing Address1215 Sw G StGrants Pass, OR 97526-2544 · (541) 476-2373
Sole ProprietorNo
Enumeration DateSeptember 17, 2013
Last NPPES UpdateJune 21, 2019
NPI 1295161701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
3501 EXCEL DR, Medford, OR 97504

Secondary Practice Location 1

Location 1140 South Holly StreetMedford, OR 97501 · Phone (541) 774-8200 · Fax (541) 774-7964

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Analyst
3501 EXCEL DR
MEDFORD, OR 97504
Counselor (Mental Health)
3501 EXCEL DR
MEDFORD, OR 97504
Counselor (Mental Health)
3501 EXCEL DR
MEDFORD, OR 97504
Counselor (Mental Health)
3501 EXCEL DR
MEDFORD, OR 97504

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Therone Chan's NPI number?

The NPI number for Therone Chan is 1295161701. It was assigned to this individual provider in the NPPES registry on September 17, 2013.

Where is Therone Chan located?

Therone Chan practices at 3501 Excel Dr, Medford, OR 97504. The listed phone number is (541) 476-2373.

What is Therone Chan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Therone Chan was last updated on June 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.