Individual
MICHAEL CHARLES CHUA TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4400 NE HALSEY ST STE 102, PORTLAND, OR 97213-1545
(503) 962-1000
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
S1931
TX
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
MD218431
OR
Other
Enumeration date
03/31/2016
Last updated
10/01/2024
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