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KHAN CHAICHANA MD

Individual Provider (NPI-1) Active

Anesthesiology

Provider Information

NPI Number
1063779015
Provider Type
Individual Provider (NPI-1)
Credentials
MD
Status
Active

Contact & Location

Address
3157 SW FAIRMOUNT BLVD, PORTLAND, OR, 972391441
Phone
(801) 414-5090

Specialties & Taxonomies

Anesthesiology License: MA #266820
Anesthesiology Primary License: OR #MD184749

All Addresses

LOCATION

3157 SW FAIRMOUNT BLVD

PORTLAND, OR, 972391441

(801) 414-5090

MAILING

3157 SW FAIRMOUNT BLVD

PORTLAND, OR, 972391441

(801) 414-5090