Tran, Fawn

Tran, Fawn is an individual health care provider with primary practice located at 10200 Sw Eastridge St Suite 205, Portland OR 97225-5064. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Tran, Fawn can be contacted via phone (503) 280-4555.

Contact Information

Primary practice address
10200 Sw Eastridge St Suite 205 Portland OR 97225-5064
Phone: (503) 280-4555
Fax: (503) 280-4559
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD22331 Oregon

Profile Details

NPI number 1346353646
LBN Legal business name Tran, Fawn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Jun 25th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346353646 NPPES
Oregon MEDICAID 500614183
Oregon Other P01165691

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