Jo-anna Tan DDS

NPI 1083763585 - Dentist - 122300000X

NPI Details
NPI 1083763585
Gender Female
Enumeration Date 01/10/2007
Last Updated 06/07/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
2350 SW MULTNOMAH BLVD STE G
PORTLAND OR, 97219-3999, US
Phone (503) 307-7700
Fax (503) 546-5327
Business Location
12677 NW WAKER DR
PORTLAND OR, 97229-3707, US
Phone (503) 439-0605
Fax
Toxanomy
Taxonomy Code 122300000X
License State Oregon
License Number D8104
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According to our database, Dr. Jo-anna Tan DDS NPI is 1083763585, taxonomy code is 122300000X and license number is D8104, license state is located at Oregon. Jo-anna Tan DDS physically located at 2350 Sw Multnomah Blvd Ste G, Portland OR, 97219-3999. NPI Number Jo-anna Tan DDS has the Individual type.

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1083763585 NPI number is provided on an as is basis without warranty of any kind. 1083763585 is maintained by the National Plan & Provider Enumeration System. The contents of Jo-anna Tan DDS are for informational purposes only.