Individual
PHIL HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
11820 SW KING JAMES PLACE SUITE 20, TIGARD, OR 97224
(503) 968-2901
(503) 406-4988
Mailing address
11820 SW KING JAMES PL STE 20, TIGARD, OR 97224-2481
(503) 296-2901
(503) 406-4988
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10046
OR
Other
Enumeration date
07/02/2013
Last updated
09/09/2014
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