Individual
TIMOTHY LAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9800 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9750
(503) 652-2880
Mailing address
9800 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9750
(503) 652-2880
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
158967
OR
Other
Enumeration date
03/30/2009
Last updated
08/27/2012
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