Individual
DR. ANITA TAM SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
545 NE 47TH AVE, STE. 310, PORTLAND, OR 97213-2238
(503) 238-6233
(503) 231-7668
Mailing address
545 NE 47TH AVE, STE. 310, PORTLAND, OR 97213-2238
(503) 636-1310
(503) 636-1310
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
MD19238
OR
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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