Individual
SUMMER TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 NW 22ND AVE, PORTLAND, OR 97210-3025
(503) 413-8401
(503) 413-3699
Mailing address
1015 NW 22ND AVE, PORTLAND, OR 97210-3025
(503) 413-8401
(503) 413-3699
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OR
Other
Enumeration date
08/09/2024
Last updated
04/18/2025
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