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Individual

JOSEPH SONXUAN TRAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
3838 SE FRANKLIN ST, PORTLAND, OR 97202-1737
(503) 235-5113
(503) 234-7132
Mailing address
3838 SE FRANKLIN ST, PORTLAND, OR 97202-1737

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D6801
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
115894
OMAP PROVIDER NUMBER
OR
Enumeration date
07/21/2006
Last updated
07/08/2007
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