Individual
DR. EMMANUEL TRUNGTOAN TAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2800 N VANCOUVER AVE, SUITE 230, PORTLAND, OR 97227-1630
(503) 413-2901
Mailing address
6223 SE GRANT ST, PORTLAND, OR 97215-4058
(503) 774-6308
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD160052
OR
Other
Enumeration date
08/06/2007
Last updated
06/24/2013
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