DR. CHUNG CHUN CHAN M.D.
NPI 1972547123
Specialist in University Place, WA

Active since June 16, 2006
3526 OLYMPIC BLVD W, UNIVERSITY PLACE, WA 98466(253) 565-6679 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Chung Chun Chan M.d. NPPES

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

DR. CHUNG CHUN CHAN M.D. (NPI 1972547123) is an individual specialist in University Place, Washington, licensed in Washington (12991) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1972547123
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. CHUNG CHUN CHANCredential: M.D.
Location Address3526 OLYMPIC BLVD WUniversity Place, WA 98466-1408
Mailing Address3526 Olympic Blvd WUniversity Place, WA 98466-1408 · (253) 565-6679
Sole ProprietorNo
Enumeration DateJune 16, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1972547123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in WA · 12991
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.
3526 OLYMPIC BLVD W, University Place, WA 98466

Other Identifiers 1

Medicare UPINA16614WA

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 Chung Chan's NPI number?

The NPI number for Chung Chan is 1972547123. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Chung Chan located?

Chung Chan practices at 3526 Olympic Blvd W, University Place, WA 98466. The listed phone number is (253) 565-6679.

What is Chung Chan's specialty?

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

When was this NPI record last updated?

The NPPES record for Chung 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.