Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIN-U TAN
Active122400000X · BEAVERTON, OR
Registration Details
- NPI Number
- 1629777552
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 28, 2023 (3.1637469283879 yrs)
- Last Updated
- Feb 28, 2023
- Licenses
-
DN61216096 (WA)DT-DO-10222225 (OR)
Practice Information
- Address
-
4855 SW WESTERN AVEBEAVERTON, OR, 970053499Browse OR providers · Browse ZIP 97005
- Phone
- 5038132000
- Primary Specialty
-
122400000X
122400000X
- Additional Specialty
- Dental Laboratory Technician
- Additional Specialty
- 122400000X
Other 122400000X Providers in BEAVERTON, OR
| Name | Credential | NPI |
|---|---|---|
| MICHAEL MOGA | LD | 1730226333 |
| MRS. ESTHER C OH | — | 1730391087 |
| KRISTINE S. BAHNG | LD | 1992918361 |
| JEFFREY JACKY | DENTURIST LD | 1356791677 |
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.