Individual
DR. EPHRAIM SHIN-TIAN TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4805 NE GLISAN ST STE 6N60, PORTLAND, OR 97213-2933
(503) 281-0561
Mailing address
4805 NE GLISAN ST STE 6N60, PORTLAND, OR 97213-2933
(503) 281-0561
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
MD184038
OR
208600000X
Surgery Physician
MD184038
OR
Other
Enumeration date
08/05/2016
Last updated
11/17/2017
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