Individual
MATTHEW TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
RN
Contact information
Practice address
30 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97232-2941
(503) 232-1099
Mailing address
4416 SW LOBELIA ST, PORTLAND, OR 97219-3566
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
10050054
OR
Other
Enumeration date
05/16/2026
Last updated
05/16/2026
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