Individual
DR. JO-ANNA TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2350 SW MULTNOMAH BLVD STE G, PORTLAND, OR 97219-3999
(503) 307-7700
(503) 546-5327
Mailing address
12677 NW WAKER DR, PORTLAND, OR 97229-3707
(503) 439-0605
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8104
OR
Other
Enumeration date
01/10/2007
Last updated
06/07/2008
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