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Individual

DR. CHARLOTTE LESLIE TSAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3600 N INTERSTATE AVE, PORTLAND, OR 97227-1106
(503) 331-3060
Mailing address
3600 N INTERSTATE AVE, PORTLAND, OR 97227-1106
(503) 331-3060

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
152175
OR
207N00000X
Dermatology Physician
44854
WA
207N00000X
Dermatology Physician
A104070
CA

Other

Enumeration date
04/11/2007
Last updated
08/25/2010
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