# TOD TOLAN MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194114314
- **Authorized official:** DR. TOD F TOLAN MD (OWNER)
- **Authorized official phone:** (503) 650-2440

## Contact information

- **Practice address:** 13240 SW PACIFIC HWY, SUITE 200, TIGARD, OR 97223-4805
- **Practice address phone:** (503) 639-6571
- **Mailing address:** 8905 SW NIMBUS AVE, STE 300, BEAVERTON, OR 97008-7136
- **Mailing address phone:** (503) 372-2740

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/12/2015
- **Last updated:** 01/12/2015