Individual
DR. SHEVYLL ARVIE SIONG TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
24988 STARK. ST., LEGACY MEDICAL GROUP MOUNT HOOD, SUITE 220 MEDICAL OFFICE BLDG 3, GRESHAM, OR 97030
(952) 583-4791
Mailing address
PO BOX 4365, PORTLAND, OR 97208-4365
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
50459
MN
207R00000X
Internal Medicine Physician
Primary
MD186467
OR
Other
Enumeration date
01/24/2008
Last updated
09/27/2018
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