Provider Demographics
NPI:1467449629
Name:HEH, CHEN-WEN CHRISTOPHER (MD)
Entity Type:Individual
Prefix:DR
First Name:CHEN-WEN
Middle Name:CHRISTOPHER
Last Name:HEH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:CHRISTOPHER
Other - Middle Name:
Other - Last Name:HEH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:4902 CANYON SAGE LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-2333
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1015 NW 22ND AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97210-3025
Practice Address - Country:US
Practice Address - Phone:503-413-8938
Practice Address - Fax:503-413-6380
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-03
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD608658552084P0800X
TXH09972084P0800X
ALMD.390072084P0800X
MN639072084P0800X
MO20190112382084P0800X
MI43015007372084P0800X
WI158-3202084P0800X
ORMD1810202084P0800X
CAA426112084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN63907OtherSTATE LICENSE