MEDICARE: EDWARD L TRAN PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223E0200X	Endodontics

General Provider Information

NPI Number	:	1174468565
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EDWARD L TRAN PLLC

Provider Business Mailing Address
First Line	:	11005 NE 55TH AVE
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98686-3931
Country	:	US
Telephone Number	:	360-702-3636
Fax Number	:

Provider Business Practice Location Address
First Line	:	1908 NW 1ST WAY STE 113
Second Line	:
City	:	BATTLE GROUND
State	:	WA
Zip	:	98604-4560
Country	:	US
Telephone Number	:	360-702-3636
Fax Number	:

Authorized Official
Title or Position	:	DR.
Name	:	EDWARD LAI TRAN
Credential	:	DDS
Telephone Number	:	503-810-0599

Provider Enumeration Date	:	04/21/2026
Last Update Date	:	05/26/2026

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