Provider Demographics
NPI:1255427449
Name:CHAU, YUEN MICHAEL
Entity type:Individual
Prefix:DR
First Name:YUEN
Middle Name:MICHAEL
Last Name:CHAU
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:YUEN
Other - Middle Name:MICHAEL
Other - Last Name:CHAU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2020 CAPITOL ST NE
Mailing Address - Street 2:SALEM CLINIC, ATTN: MICHAEL SIEBLER, BILLING SPECIALIST
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-0644
Mailing Address - Country:US
Mailing Address - Phone:503-399-2424
Mailing Address - Fax:
Practice Address - Street 1:2020 CAPITOL ST NE
Practice Address - Street 2:SALEM CLINIC, ATTN: MICHAEL SIEBLER, BILLING SPECIALIST
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-0644
Practice Address - Country:US
Practice Address - Phone:503-399-2424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2010-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00038487207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0137788OtherL & I
WA8252942Medicaid
911019392OtherCOMMERCIAL
WA8252942OtherCHPW
WA0137788OtherL & I
AB15602Medicare ID - Type UnspecifiedRR MEDICARE
H13412Medicare UPIN