Individual
TIAN YU DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1500 DIVISION ST, OREGON CITY, OR 97045-1527
(503) 650-6270
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO166035
OR
207R00000X
Internal Medicine Physician
U02830
FL
208M00000X
Hospitalist Physician
Primary
DO166035
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500670840
—
OR
Enumeration date
12/18/2012
Last updated
10/19/2020
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