SHEVYLL ARVIE SIONG TAN

GRESHAM, OR
NPI1376720052
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: OR  MD186467)
Additional Taxonomies207R00000X Internal Medicine
(Licence: MN  50459)
Enumeration Date2008-01-24
Last Update Date2018-09-27
Business Address
Dr. SHEVYLL ARVIE SIONG TAN M.D.
24988 STARK. ST., LEGACY MEDICAL GROUP MOUNT HOOD SUITE 220 MEDICAL OFFICE BLDG 3
GRESHAM, OR 97030
Phone number: 952-583-4791
Mailing Address
Dr. SHEVYLL ARVIE SIONG TAN M.D.
PO BOX 4365
PORTLAND, OR 97208-4365
Phone number: 503-413-3900
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