Nikki Banggo Chan

NPI #1053101402 in Corvallis, Oregon

Provider Information

NPI Number
1053101402
Entity Type
Individual
Name
Nikki Banggo Chan
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
May 8, 2025
Last Updated
May 8, 2025

Practice Location

Address
1601 SW JEFFERSON AVE
State
Oregon
ZIP Code
97331-8656
Phone
(541) 737-3424

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program

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