Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chan Ly

Individual provider Case Management Registered Nurse · NPI 1932736121

Chan Ly is a Nurse Practitioner in Olympia, Washington. Qualified in 2021, 5 years ago. Practices with American Oncology Partners PA, a 383-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
5
Licensed in
WA
In the registry since
2020
Specialties on file
2

Practice location Address checks out

141 Lilly Rd NE
Olympia, WA 98506-5028
Phone: (360) 413-8880
Fax: (360) 810-3697
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 315 Mlk Jr Way, Tacoma, WA 98405 — (253) 403-1000

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP61214320 (WA)
Case Management Registered Nurse Taxonomy 163WC0400X · Licence RN60240413 (WA)

Record details

NPI number1932736121
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 26, 2020
Last updated in NPPESSeptember 11, 2024
Certification dateSeptember 11, 2024
Mailing addressPo Box 749495, Atlanta, GA 30374-9495

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice American Oncology Partners Pa — 383 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Olympia