Provider Demographics
NPI:1700898723
Name:YU, KELVIN CHIU (MD)
Entity Type:Individual
Prefix:DR
First Name:KELVIN
Middle Name:CHIU
Last Name:YU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:541 NE 20TH AVE STE 225
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97232-2895
Mailing Address - Country:US
Mailing Address - Phone:503-963-2801
Mailing Address - Fax:503-963-2825
Practice Address - Street 1:5050 NE HOYT ST STE 651
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97213-2954
Practice Address - Country:US
Practice Address - Phone:503-935-8700
Practice Address - Fax:503-935-8701
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD204212086X0206X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1016896Medicaid
OR150223Medicaid
OR1629080510OtherORGANIZATION NPI
OROOWCJBBEMedicare ID - Type Unspecified
OR150223Medicaid
ORP01480589Medicare PIN