Provider Demographics
NPI:1336961549
Name:TRAN, HAN HOANG
Entity type:Individual
Prefix:
First Name:HAN
Middle Name:HOANG
Last Name:TRAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16180 SW BLACK BIRD DR
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97007-8958
Mailing Address - Country:US
Mailing Address - Phone:971-407-0812
Mailing Address - Fax:
Practice Address - Street 1:16180 SW BLACK BIRD DR
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97007-8958
Practice Address - Country:US
Practice Address - Phone:971-407-0812
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-29
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program