Healthcare Provider Details

I. General information

NPI: 1174468565
Provider Name (Legal Business Name): EDWARD L TRAN PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1908 NW 1ST WAY STE 113
BATTLE GROUND WA
98604-4560
US

IV. Provider business mailing address

11005 NE 55TH AVE
VANCOUVER WA
98686-3931
US

V. Phone/Fax

Practice location:
  • Phone: 503-810-0599
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State

VIII. Authorized Official

Name: EDWARD LAI TRAN
Title or Position: DR.
Credential: DDS
Phone: 503-810-0599