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NPI Code Detail

MEDICARE: ALLEN TRAN PA-C

MEDICARE: ALLEN TRAN PA-C
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
1363A00000XPhysician AssistantPA227941OR

General Provider Information

NPI Number : 1689363020
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLEN TRAN PA-C
Provider Business Mailing Address
First Line : PO BOX 190
Second Line :
City : TOPPENISH
State : WA
Zip : 98948-0190
Country : US
Telephone Number : 509-408-6298
Fax Number : 509-865-0757
Provider Business Practice Location Address
First Line : 2275 COMMERCIAL ST
Second Line :
City : ASTORIA
State : OR
Zip : 97103-3327
Country : US
Telephone Number : 503-338-4175
Fax Number : 503-338-4199
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2023
Last Update Date : 11/14/2025

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Directions to “ ALLEN TRAN PA-C” Practice Location

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