Most Relevant Information
Provider Data
| NPI Number: | 1003007907 |
| Provider Name: | EMMANUEL TRUNGTOAN TAVAN MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207RP1001X |
| Specialty: | Internal Medicine |
| License Number: | MD160052 |
Most Important Dates
| Enumeration Date: | 08/06/2007 |
| Last Updated: | 06/24/2013 |
Provider Practice Location
2800 N VANCOUVER AVE
SUITE 230
PORTLAND
OR
972271630
Practice Location Phone/Fax
| Phone: | 5034132901 |
| Fax: |
Provider Mailing Location
6223 SE GRANT ST
PORTLAND
OR
972154058
Provider Mailing Phone/Fax
| Phone: | 5037746308 |
| Fax: |
Suggested EMR
Pulmonologist EMR