Individual
DR. ALLEN WAI-HUNG TAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1939 NE 122ND AVE, PORTLAND, OR 97230-1917
(503) 252-3666
Mailing address
9605 NE MASON ST, PORTLAND, OR 97220-3504
(503) 804-7049
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8347
OR
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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