Individual
DR. ANDREW S TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
827 SPRING ST, MEDFORD, OR 97504
(541) 732-8360
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(541) 732-8360
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
DO187190
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2014
Last updated
10/20/2020
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