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1477138691
HAO TAN
PORTLAND, OR
NPI
1477138691
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-03-10
Last Update Date
2021-03-10
Business Address
HAO TAN
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3079
Phone number: 503-494-8311
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Mailing Address
HAO TAN
2615 S WATER AVE APT 505
PORTLAND, OR 97201-4842
Phone number:
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