# VUONG VAN TRAN MD PC

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

## Provider details

- **NPI number:** 1619153913
- **Authorized official:** VUONG VAN TRAN MD (PRESIDENT)
- **Authorized official phone:** (503) 255-8258

## Contact information

- **Practice address:** 8106 NE WASCO ST, PORTLAND, OR 97213-6737
- **Practice address phone:** (503) 255-8258
- **Mailing address:** 8106 NE WASCO ST, PORTLAND, OR 97213-6737
- **Mailing address phone:** (503) 255-8258

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207RA0000X | Adolescent Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RA0000X | Adolescent Medicine (Internal Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 01/16/2008
- **Last updated:** 01/16/2008