Individual
CI AN GERALD TAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3181 SW SAM JACKSON PARK RD , PV01, PORTLAND, OR 97239
(503) 494-8510
Mailing address
3181 SW SAM JACKSON PARK RD , PV01, PORTLAND, OR 97239
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
FE177229
OR
Other
Enumeration date
03/30/2016
Last updated
03/31/2016
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