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1972745404
TIMOTHY LAN
CLACKAMAS, OR
NPI
1972745404
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR 158967)
Enumeration Date
2009-03-30
Last Update Date
2012-08-27
Business Address
-- TIMOTHY LAN M.D.
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-9750
Phone number: 503-652-2880
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Mailing Address
-- TIMOTHY LAN M.D.
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-9750
Phone number: 503-652-2880
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