NPI 1376630285 · live from the CMS NPI Registry
Carol I Chen-Johnston, MD
Internal Medicine, Cardiovascular Disease in Newberg, OR. National Provider Identifier 1376630285, active.
NPI record
| NPI | 1376630285 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Cardiovascular Disease 207RC0000X |
| Practice location | 1003 Providence Drive, Suite 325, Newberg, OR 97132 |
| Practice phone | 503-537-6026 |
| Mailing address | Po Box 3158, Portland, OR 97208 |
| Enumerated | October 10, 2006 |
| Last updated | November 2, 2010 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Cardiovascular Disease | 207RC0000X | 036-104651 (IL) |
| Internal Medicine, Cardiovascular Disease primary | 207RC0000X | MD153235 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.