Provider Demographics
NPI:1164718169
Name:DOAN, TUAN (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:TUAN
Middle Name:
Last Name:DOAN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2295 SE TUALATIN VALLEY HWY
Mailing Address - Street 2:T-0362
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97123-7915
Mailing Address - Country:US
Mailing Address - Phone:503-707-0000
Mailing Address - Fax:
Practice Address - Street 1:2295 SE TUALATIN VALLEY HWY
Practice Address - Street 2:T-0362
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-7915
Practice Address - Country:US
Practice Address - Phone:503-707-0000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-28
Last Update Date:2011-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH 60115667183500000X
ORRPH-0010750183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist