Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Hachau C Phan, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1811477557

Miss. Hachau C Phan, AGACNP-BC is a Nurse Practitioner in Portland, Oregon. Qualified in 2017, 9 years ago. Practices with Providence Health and Services Oregon, a 1,426-clinician group and accepts Medicare assignment. Licensed in Oregon and Texas.

Years since qualifying
9
Licensed in
OR, TX
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

9205 SW Barnes Rd
Portland, OR 97225-6603
Phone: (503) 216-2906
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 10045348 (OR)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 10045348 (OR)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence AP136895 (TX)

Record details

NPI number1811477557
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedAugust 21, 2018
Last updated in NPPESDecember 30, 2025
Certification dateDecember 30, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Providence Health And Services Oregon — 1426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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