Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NIKKI BANGGO CHAN
Active Sole ProprietorNIKKI BANGGO CHAN is a Student (Health Education/Training) healthcare provider located in CORVALLIS, Oregon. NPI 1053101402 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · CORVALLIS, OR
Registration Details
- NPI Number
- 1053101402
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 8, 2025 (1.2255297350962 yrs)
- Last Updated
- May 8, 2025
- License
-
PI-00144 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1601 SW JEFFERSON AVECORVALLIS, OR, 973318656Browse OR providers · Browse ZIP 97331
- Phone
- 5417373424
- Primary Specialty
-
Student (Health Education/Training)
390200000X
Other Student (Health Education/Training) Providers in CORVALLIS, OR
| Name | Credential | NPI |
|---|---|---|
| PATRICK W CUMMINGS | — | 1396803631 |
| PHILIP JERRELL MENAGH | — | 1922151778 |
| PATTI A HEARTSONG | — | 1285853267 |
| SHANNON LEE | — | 1578747481 |
| ELIZABETH NICOLE TYLER-JIMENEZ | — | 1295057644 |
| PETE BRYANT | STUDENT | 1669772968 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.