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Contact Information

JASON S CHAN, PA-C
53 S PUUNENE AVE STE 108
KAHULUI, HI96732-2192
 Phone: 808-877-5657
 Fax: 808-877-5659
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JASON S CHAN · (Male)

NPI Number 1023206216
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/12/2007
Last updated 11/18/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • FL License # 1080343
  • HI License # AMD-381
Hospital affiliation(s)
  • SNOQUALMIE VALLEY HOSPITAL - (Critical Access)
    9575 ETHAN WADE WAY SE
    SNOQUALMIE, WA 98065
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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