Provider Demographics
NPI:1780002626
Name:CHU, MAY-LYNN (DO)
Entity type:Individual
Prefix:
First Name:MAY-LYNN
Middle Name:
Last Name:CHU
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:831 NW COUNCIL DR STE 101
Mailing Address - Street 2:
Mailing Address - City:GRESHAM
Mailing Address - State:OR
Mailing Address - Zip Code:97030-3722
Mailing Address - Country:US
Mailing Address - Phone:503-665-8176
Mailing Address - Fax:503-665-8178
Practice Address - Street 1:831 NW COUNCIL DR STE 101
Practice Address - Street 2:
Practice Address - City:GRESHAM
Practice Address - State:OR
Practice Address - Zip Code:97030-3722
Practice Address - Country:US
Practice Address - Phone:503-665-8176
Practice Address - Fax:503-665-8178
Is Sole Proprietor?:No
Enumeration Date:2014-03-28
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDOC-0232207Q00000X
IADO-05711207Q00000X
IL036.155039207Q00000X
WAOP61036525207Q00000X
MN68493207Q00000X
MTMEDPHYSCOMLIC114192207Q00000X
TXT8101207Q00000X
VA0102206939207Q00000X
WI64755-21207Q00000X
390200000X
ORDO182259207Q00000X
AZ008933207Q00000X
COCDR.0000964207Q00000X
MIEMC0000720207Q00000X
GA87400207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program