Individual
VUONG VAN TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8106 NE WASCO ST, PORTLAND, OR 97213-6737
(503) 255-8258
(503) 252-1668
Mailing address
8106 NE WASCO ST, PORTLAND, OR 97213-6737
(503) 255-8258
(503) 252-1668
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD19400
OR
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
MD19400
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080077
—
OR
Enumeration date
04/18/2006
Last updated
07/15/2010
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