Individual
AN HOANG PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2850 SE 82ND AVE UNIT 8, PORTLAND, OR 97266-1599
(503) 777-3000
(503) 777-0002
Mailing address
2850 SE 82ND AVE UNIT 8, PORTLAND, OR 97266-1599
(503) 777-3000
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00902
OR
175F00000X
Naturopath
1395
OR
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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