Provider Demographics
NPI:1548374978
Name:CHIOU, REI-KWEN K (MD)
Entity type:Individual
Prefix:MR
First Name:REI-KWEN
Middle Name:K
Last Name:CHIOU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2460 STEWART PARKWAY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ROSEBURG
Mailing Address - State:OR
Mailing Address - Zip Code:97471
Mailing Address - Country:US
Mailing Address - Phone:541-677-6141
Mailing Address - Fax:541-375-6144
Practice Address - Street 1:2460 STEWART PARKWAY
Practice Address - Street 2:SUITE 100
Practice Address - City:ROSEBURG
Practice Address - State:OR
Practice Address - Zip Code:97471
Practice Address - Country:US
Practice Address - Phone:541-677-6141
Practice Address - Fax:541-375-6144
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2012-08-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE18372208800000X
ORMD28872208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
340016681Medicare PIN
NE340016681Medicare PIN
NE271907Medicare PIN
NEE60110Medicare UPIN