Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ALFONSO OLIVA TAN, MD
Active Sole ProprietorDR. ALFONSO OLIVA TAN, MD is a Internal Medicine healthcare provider located in WINCHESTER, Oregon. NPI 1407085210 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · WINCHESTER, OR
Registration Details
- NPI Number
- 1407085210
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 14, 2009 (17.09068668254 yrs)
- Last Updated
- Jul 14, 2009
- License
-
MD13317 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
305 THORA CIRCLE DR.WINCHESTER, OR, 97495Browse OR providers · Browse ZIP 97495
- Phone
- 5416734516
- Primary Specialty
-
Internal Medicine
207R00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.