SearchOregon1223G0001X

Brian Phan, DMD

NPI 1487167565 · on the registry since 2017

Practice

Address
13831 Nw Cornell Rd
Portland, OR 97229
Phone
(503) 653-8320
Clinicians at this address
20

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-03-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon