Individual
TAI WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10201 SE MAIN ST STE 11, PORTLAND, OR 97216-2937
(503) 253-2248
(503) 252-5166
Mailing address
1510 SW ALDER ST APT 1816, PORTLAND, OR 97205-1527
(425) 941-8812
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2021-01222
NC
207R00000X
Internal Medicine Physician
S2926
TX
207RP1001X
Pulmonary Disease Physician
2021-01222
NC
207RP1001X
Pulmonary Disease Physician
Primary
MD220319
OR
Other
Enumeration date
06/08/2017
Last updated
07/08/2024
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