MICHAEL CHARLES CHUA TAN MD NPI 1265895940

NPI Information

  • NPI: 1265895940
  • Provider Name: MICHAEL CHARLES CHUA TAN, MD
  • Classification: Internal Medicine - 207RC0001X
  • Specialization: Clinical Cardiac Electrophysiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4400 NE HALSEY ST STE 102
    PORTLAND, OR
    ZIP 97213
  • Phone: (503) 962-1000

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NPI Details

Michael Charles Chua Tan, MD is a clinical cardiac electrophysiology internal medicine in Portland, OR with 10 years of experience. The provider is a field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. Michael Charles Chua Tan, MD NPI is 1265895940. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year:2016

The provider's business location address is:

4400 NE HALSEY ST STE 102
PORTLAND, OR
ZIP 97213-545
Phone: (503) 962-1000

The NPI 1265895940 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/31/2016 and was last updated on 10/1/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular DiseaseS1931TEXASNo
2207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyMD218431OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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