DR. JACK CHEN (NPI# 1821400367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821400367 |
| Entity Type | Individual |
| Full Name | DR. JACK CHEN |
| Credential | DO |
| Practice Address |
3620 Nw Samaritan Dr Ste 202 Corvallis OR 97330-3785 |
| Mailing Address |
Po Box 1189 Corvallis OR 97339-1189 |
| Practice Telephone | 5417685800 |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2020-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
DO195700 | OR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104131895 | Jack Hung Ti Chen | Acupuncturist | 7509 Hellman Ave, Rosemead, CA 91770-2215 | 2010-08-18 |
| 1194883694 | Jack Hanchieh Chen | Dentist | 914 E Garvey Ave, Monterey Park, CA 91755 | 2006-12-05 |
| 1821082389 | Jack P Chen | Internal Medicine | 5670 Peachtree Dunwoody Rd Ste 880, Atlanta, GA 30342-4789 | 2005-09-09 |
| 1457356156 | Jack Chen | Pharmacist | 17224 Rachels Way, Chino Hills, CA 91709-6384 | 2005-06-17 |
| 1104356500 | Jack Chen | Internal Medicine | 3901 Rainbow Blvd # Ms 4032, Kansas City, KS 66160 | 2017-06-18 |
| 1316190531 | Jack Chen | Nurse Practitioner | 710 Lawrence Expressway, Santa Clara, CA 95051 | 2008-10-31 |
| 1669562351 | Jack Chen | Physical Therapist | 17050 Bushard St, Suite 350, Fountain Valley, CA 92708-2832 | 2006-10-13 |
| 1134169139 | Jack L Chen | Radiology | 18344 Clark Street, Suite 101, Tarzana, CA 91356 | 2006-06-07 |
| 1568459683 | Jack Chen | Orthopaedic Surgery | 280 S Main St, Ste 200, Orange, CA 92868-3852 | 2005-10-04 |
| Street Address |
3620 NW SAMARITAN DR STE 202 |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97330-3785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912019217 | Michelle Marie Ryan | Internal Medicine | 3620 Nw Samaritan Dr Ste 202, Corvallis, OR 97330-3785 | 2006-08-31 |
| 1528290459 | Nicholas Steven Tedesco | Orthopaedic Surgery | 3620 Nw Samaritan Dr Ste 202, Corvallis, OR 97330-3785 | 2009-08-11 |
| 1902028111 | Jason Seitetsu Lin | Orthopaedic Surgery | 3620 Nw Samaritan Dr Ste 202, Corvallis, OR 97330-3785 | 2007-05-03 |
| 1457449316 | Melissa Renee Coombs | Physician Assistant | 3620 Nw Samaritan Dr Ste 202, Corvallis, OR 97330-4714 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| 1548889017 | Greydi Olvera | Counselor | Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 | 2020-04-14 |
| 1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
| 1740847177 | Stephen Jack Eccles | Behavior Technician | Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-05-21 |
| 1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
| 1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
| 1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
| 1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
| 1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
| 1700377108 | Pacific Hearing Services | Audiologist | 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 | 2018-05-22 |
| Find all providers in zip 97330 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912019217 | Michelle Marie Ryan | Internal Medicine | 3620 Nw Samaritan Dr Ste 202, Corvallis, OR 97330-3785 | 2006-08-31 |
| 1003868720 | Jonathan David Jones | Internal Medicine | 3620 Nw Samaritan Dr Ste 203, Corvallis, OR 97330-4714 | 2006-05-17 |
| 1982970828 | Good Samaritan Hospital Corvallis | Internal Medicine | 3620 Nw Samaritan Drive, Suite 203, Corvallis, OR 97330-3925 | 2012-03-26 |
| 1164471967 | John R Ladd | Internal Medicine | 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2006-05-09 |
| 1972581502 | John Stephen Thompson | Internal Medicine | 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2006-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528295557 | Ajay Wanchu | Internal Medicine | 10101 Se Main St Ste 2011, Portland, OR 97216-2457 | 2009-06-17 |
| 1023229812 | Sarah Jan Lipton | Internal Medicine | 5050 Ne Hoyt St Ste 155, Portland, OR 97213-2956 | 2007-05-24 |
| 1871706218 | Shawn Gonda Macalester | Internal Medicine | 545 Se Oak St Ste F, Hillsboro, OR 97123-4147 | 2007-05-08 |
| 1053442855 | Arthritis and Osteoporsis Clinic LLC | Internal Medicine | 2200 Ne Neff Rd Ste 302, Bend, OR 97701-4279 | 2007-03-07 |
| 1316035728 | Drs Cassell & Boren PC | Internal Medicine | 132 E Broadway Suite 830, Drs Cassell & Boren PC, Eugene, OR 97401-3160 | 2006-10-11 |
| 1215035449 | Mollie E Thompson | Internal Medicine | 9155 Sw Barnes Rd Ste 314, Portland, OR 97225-6630 | 2006-09-20 |
| 1417068198 | Ann Marie Macasa | Internal Medicine | 402 Villa Rd, Newberg, OR 97132-1831 | 2006-08-31 |
| 1093724247 | Sarah Cassell | Internal Medicine | 132 E Broadway Ste 830, Eugene, OR 97401-3181 | 2006-08-05 |
| 1639114358 | Raymond Charles Hausch | Internal Medicine | 960 Liberty St Se Ste 200, Salem, OR 97302-4195 | 2006-06-17 |
| 1245283605 | Heather L Hansen-dispenza | Internal Medicine | 2965 Ne Conners Ave Ste 127, St. Charles Rheumatology, Bend, OR 97701-7753 | 2006-05-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.