Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRAVIS TUAN TANG
Active Sole ProprietorTRAVIS TUAN TANG is a Long-Term Care Pharmacy healthcare provider located in ROSEBURG, Oregon. NPI 1962042242 is currently active in the NPPES registry. Verify at CMS.
Long-Term Care Pharmacy · ROSEBURG, OR
Registration Details
- NPI Number
- 1962042242
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 14, 2020 (6.5895655530187 yrs)
- Last Updated
- Jan 14, 2020
- License
-
RPH-0017619 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2125 NW STEWART PKWYROSEBURG, OR, 974711693Browse OR providers · Browse ZIP 97471
- Phone
- 5419578544
- Primary Specialty
-
Long-Term Care Pharmacy
3336C0003X
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.