Individual
DUY QUANG TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
839 NE HOLLADAY ST, PORTLAND, OR 97232-3521
(503) 203-0700
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD00045971
WA
207Q00000X
Family Medicine Physician
Primary
MD187100
OR
207Q00000X
Family Medicine Physician
MD25805
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8444861
—
WA
01
—
P00354319
RR MEDICARE
WA
Enumeration date
09/21/2005
Last updated
06/15/2021
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