Individual
DR. VAN LE PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1800 SW 1ST AVE STE 400, PORTLAND, OR 97201-5355
(971) 251-9856
(503) 206-6713
Mailing address
3331 CARDINAL LAKE DR, DULUTH, GA 30096-3943
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/03/2026
Last updated
08/03/2026
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