MR. MARK T CHAN MD
NPI 1689779530
Specialist in Clackamas, OR

Q: What is Mark Chan's NPI number?

The NPI number for Mark Chan is 1689779530. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Q: What is Mark Chan's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Chan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since September 14, 2006PECOS EnrolledAccepts Medicare Assignment

10180 SE SUNNYSIDE RD, DEPT OF ALLERGY, CLACKAMAS, OR 97015(503) 571-2724 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Mark T Chan Md NPPES

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

MR. MARK T CHAN MD (NPI 1689779530) is an individual specialist in Clackamas, Oregon and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1689779530

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameMR. MARK T CHANCredential: MD

Location Address10180 SE SUNNYSIDE RD, DEPT OF ALLERGYClackamas, OR 97015-8970

Mailing Address10180 Se Sunnyside Rd, Dept Of AllergyClackamas, OR 97015-8970

Phone(503) 571-2724

Sole ProprietorYes

Medical School CMSOtherGraduated 1992

Enumeration DateSeptember 14, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1689779530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

10180 SE SUNNYSIDE RD, Clackamas, OR 97015

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Mark T Chan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860401304

PECOS Enrollment IDI20060412000091

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

DR. DANIEL FORREST LOTSPEICH MD

Internal Medicine

10180 SE SUNNYSIDE RD, KAISER PERMANENTE DEPARTMENT OF INTERNAL MEDICINE
CLACKAMAS, OR 97015

Clackamas County (503) 652-2880

MEGAN LEA KELLY

Emergency Medicine

10180 SE SUNNYSIDE RD, KAISER SUNNYSIDE MEDICAL CENTER
CLACKAMAS, OR 97015

Clackamas County (503) 652-2880

JARROD L LARSON M.D.

Anesthesiology