NPI 1083654313 · live from the CMS NPI Registry
Ellen H Chen, M.D.
Internal Medicine, Interventional Cardiology in Coos Bay, OR. National Provider Identifier 1083654313, active.
NPI record
| NPI | 1083654313 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Interventional Cardiology 207RI0011X |
| Practice location | 1775 Thompson Rd, Coos Bay, OR 97420 |
| Practice phone | 541-269-8111 |
| Mailing address | Po Box 59028, Renton, WA 98058 |
| Enumerated | June 7, 2006 |
| Last updated | March 24, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Cardiovascular Disease | 207RC0000X | MC-0231 (ID) |
| Internal Medicine, Interventional Cardiology | 207RI0011X | MC-0231 (ID) |
| Internal Medicine, Interventional Cardiology | 207RI0011X | MD00047746 (WA) |
| Internal Medicine, Interventional Cardiology primary | 207RI0011X | MED-PHYS-LIC-45806 (MT) |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | MD186722 (OR) |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | MD00047746 (WA) |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | 01077302A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.