Individual
SOPHIA TAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-5300
Mailing address
1400 SW 5TH AVE STE 500, PORTLAND, OR 97201-5537
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
11607558-1205
UT
208600000X
Surgery Physician
MD224915
OR
2086S0102X
Surgical Critical Care Physician
11607558-1205
UT
2086S0102X
Surgical Critical Care Physician
MD224915
OR
2086S0127X
Trauma Surgery Physician
Primary
MD224915
OR
Other
Enumeration date
04/20/2015
Last updated
08/18/2025
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