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Contact Information

ALFONSO O TAN, MD
305 THORA CIRCLE DR.
WINCHESTER, OR97495
 Phone: 541-673-4516
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ALFONSO O TAN · (Male)

NPI # 1407085210
Status Active
Credentials MD
Entity Individual
Enumeration date 07/14/2009
Last updated 07/14/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # MD13317
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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