Provider Demographics
NPI:1790033637
Name:CHU, CHRISTOPHER LIN (LPN)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:LIN
Last Name:CHU
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1505 ORCHARD ST APT 5
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97403-2033
Mailing Address - Country:US
Mailing Address - Phone:206-226-6275
Mailing Address - Fax:
Practice Address - Street 1:1505 ORCHARD ST APT 5
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97403-2033
Practice Address - Country:US
Practice Address - Phone:206-226-6275
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-27
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201230134LPN164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse