Individual
DR. TIMOTHY LEONOR TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2815 EASTLAKE AVE E STE 240, SEATTLE, WA 98102-3086
(503) 906-7300
(503) 245-8219
Mailing address
PO BOX 230457, PORTLAND, OR 97281-0457
(503) 906-7300
(503) 245-8219
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
70062322
WA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
02007763A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
125064426
IL
Other
Enumeration date
05/14/2013
Last updated
11/26/2025
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