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NPI Code Detail

MEDICARE: TUAN TRAN DMD

MEDICARE: TUAN TRAN DMD
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
11223G0001XGeneral Practice DentistryD11283OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679030878
Entity Type Code : Individual
Provider Name (Legal Business Name) : TUAN TRAN DMD
Provider Business Mailing Address
First Line : 7320 SW HUNZIKER RD STE 300
Second Line :
City : PORTLAND
State : OR
Zip : 97223-2302
Country : US
Telephone Number : 503-941-3118
Fax Number :
Provider Business Practice Location Address
First Line : 10690 NE CORNELL RD STE 220
Second Line :
City : HILLSBORO
State : OR
Zip : 97124-9224
Country : US
Telephone Number : 503-848-5861
Fax Number : 503-848-5861
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2019
Last Update Date : 03/16/2026

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Directions to “ TUAN TRAN DMD” Practice Location

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