JUSTIN CHAU DO
NPI 1932812179
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since January 03, 2023PECOS Enrolled
1015 NW 22ND AVE, PORTLAND, OR 97210(503) 413-7711 Get Directions Write a Review

NPPES record last updated: July 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 3, 2025, Jan 3, 2023 (2 updates tracked since 2023).

About Justin Chau Do NPPES

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

JUSTIN CHAU DO (NPI 1932812179) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932812179
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJUSTIN CHAUCredential: DO
Location Address1015 NW 22ND AVEPortland, OR 97210-3025
Mailing Address200 Mullins DrLebanon, OR 97355-3983 · (541) 259-0235
Sole ProprietorYes
Enumeration DateJanuary 3, 2023
Last NPPES UpdateJuly 3, 20252 updates tracked since enumeration
NPPES CertifiedJuly 3, 2025
NPI 1932812179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1015 NW 22ND AVE, Portland, OR 97210

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Justin Chau Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Internal Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Internal Medicine (Infectious Disease)
1015 NW 22ND AVE, R200
PORTLAND, OR 97210
Student in an Organized Health Care Education/Training Program
1015 NW 22ND AVE
PORTLAND, OR 97210
Student in an Organized Health Care Education/Training Program
1015 NW 22ND AVE
PORTLAND, OR 97210
Emergency Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Internal Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Pathology (Anatomic Pathology & Clinical Pathology)
1015 NW 22ND AVE
PORTLAND, OR 97210
Pharmacist
1015 NW 22ND AVE
PORTLAND, OR 97210

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 Justin Chau's NPI number?

The NPI number for Justin Chau is 1932812179. It was assigned to this individual provider in the NPPES registry on January 3, 2023.

Where is Justin Chau located?

Justin Chau practices at 1015 NW 22nd Ave, Portland, OR 97210. The listed phone number is (503) 413-7711.

What is Justin Chau's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Justin Chau enrolled in Medicare?

Yes. Justin Chau is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Justin Chau was last updated on July 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.