Individual
TAM TIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11903 SE MORRISON ST, PORTLAND, OR 97216-3877
(503) 560-3717
Mailing address
11903 SE MORRISON ST, PORTLAND, OR 97216-3877
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/29/2026
Last updated
06/29/2026
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