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1518639038
PHAT Q TRAN
CANBY, OR
NPI
1518639038
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA208231)
Enumeration Date
2021-10-03
Last Update Date
2023-04-26
Business Address
PHAT Q TRAN PA-C
200 S HAZEL DELL WAY STE 205
CANBY, OR 97013-7828
Phone number: 503-405-3700
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Mailing Address
PHAT Q TRAN PA-C
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494
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