Individual
THUYET VAN TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21711 SE HIGHWAY 212, DAMASCUS, OR 97089-9250
(503) 788-6483
Mailing address
21711 SE HIGHWAY 212, DAMASCUS, OR 97089-9250
(503) 788-6483
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD154469
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500636138
—
OR
Enumeration date
05/08/2007
Last updated
11/19/2014
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