Alexander Nguyen Tuan Phan (NPI# 1952749087, PAC ID# 3476880808) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1952749087 |
| PAC ID by PECOS | 3476880808 |
| Professional Enrollment ID | I20190808000837 |
| Full Name | Alexander Nguyen Tuan Phan |
| Organization Legal Name | PORTLAND ADVENTIST MEDICAL CENTER |
| Address |
1350 Ne 122nd Ave Suite 200 Portland OR 97230-2011 |
| Phone Number | 5034087008 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7012827876 |
| Number of Group Practice Members | 196 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380060 | ADVENTIST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1350 Ne 122nd Ave, Suite 200, Portland, OR 97230-2011 | 5034087008 | PORTLAND ADVENTIST MEDICAL CENTER |
| 18750 Se Stark St, Portland, OR 97233-5330 | 5036666717 | PORTLAND ADVENTIST MEDICAL CENTER |
| Organization Legal Name | PORTLAND ADVENTIST MEDICAL CENTER |
| Physicians | 159 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Abraham Feldman | Interventional Cardiology | Portland Adventist Medical Center | 2700 Se Stratus Ave, Unit 406, Mcminnville, OR 97128-6258 |
| Valerie Warner Lanham | Clinical Social Worker | Portland Adventist Medical Center | 10201 Se Main St, Suite 29, Portland, OR 97216-2937 |
| Tamara M Wostal | Nurse Practitioner | Portland Adventist Medical Center | 1350 Ne 122nd Ave, Suite 200, Portland, OR 97230-2011 |
| Cory V Carlston | Hand Surgery | Portland Adventist Medical Center | 10000 Se Main St, Suite 224, Portland, OR 97216-2469 |
| Derek Nathan Anderson | Family Medicine | Portland Adventist Medical Center | 19220 Mcloughlin Blvd, Gladstone, OR 97027-2642 |
| Angela V Lewis | Physician Assistant | Portland Adventist Medical Center | 14450 Se Royer Rd, Damascus, OR 97089-8730 |
| Christopher M Love | Family Medicine | Portland Adventist Medical Center | 17055 Ruben Ln, Sandy, OR 97055-9276 |
| Anong Y Moua | Family Practice | Portland Adventist Medical Center | 13021 Se River Rd, 3000 Adventist Health Medical Group Willamette View, Portland, OR 97222-8028 |
| William C Chapin | Endocrinology | Portland Adventist Medical Center | 10101 Se Main St, Suite 1001, Portland, OR 97216-2456 |
| Larry L Moffett | Family Medicine | Portland Adventist Medical Center | 11211 Se Sunnyside Rd, Clackamas, OR 97015-7787 |
| Street Address |
1350 NE 122ND AVE SUITE 200 |
| City | PORTLAND |
| State | OR |
| Zip | 97230-2011 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tamara M Wostal | Nurse Practitioner | Portland Adventist Medical Center | 1350 Ne 122nd Ave, Suite 200, Portland, OR 97230-2011 |
| Victoria B Laporte | Nurse Practitioner | Portland Adventist Medical Center | 1350 Ne 122nd Ave, Portland, OR 97230-2011 |
| Imelda C Kelly | Family Medicine | Portland Adventist Medical Center | 1350 Ne 122nd Ave, Portland, OR 97230-2011 |
| Jonathan Y Mou | Family Medicine | Portland Adventist Medical Center | 1350 Ne 122nd Ave, Portland, OR 97230-2011 |
| Gregory C Scribner | Internal Medicine | Portland Adventist Medical Center | 1350 Ne 122nd Ave, Portland, OR 97230-2011 |
| Sarah L Flowerday | Family Medicine | Portland Adventist Medical Center | 1350 Ne 122nd Ave, Portland, OR 97230-2011 |
| David J Tovey | Family Medicine | Portland Adventist Medical Center | 1350 Ne 122nd Ave, Portland, OR 97230-2011 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stefani K Cozine | Audiologist | Kaiser Foundation Health Plan of The Northwest | 13705 Ne Airport Way C, Portland, OR 97230-1048 |
| Edward R Mann | Nurse Practitioner | Kaiser Foundation Health Plan of The Northwest | 13705 Ne Airport Way C, Portland, OR 97230-1048 |
| Gordon M Arnott | Family Medicine | American Current Care Pa | 12518 Ne Airport Way, 110 Concentra Urgent Care, Portland, OR 97230-1090 |
| Larry Drumm | Osteopathic Manipulative Medicine | American Current Care Pa | 12518 Ne Airport Way, 110 Concentra Urgent Care, Portland, OR 97230-1090 |
| James Barger | Nurse Practitioner | American Current Care Pa | 12518 Ne Airport Way, 110 Concentra Urgent Care, Portland, OR 97230-1090 |
| Andrew R Harbison | Internal Medicine | American Current Care Pa | 12518 Ne Airport Way, 110 Concentra Urgent Care, Portland, OR 97230-1090 |
| Ryan Stallings | Family Practice | American Current Care Pa | 12518 Ne Airport Way, Portland, OR 97230-1090 |
| Leonardo T Porreco | Physical Therapy | Oregon Physical Therapy and Sports | 3620 Ne 122nd Ave C, Portland, OR 97230-1365 |
| Marc M Morishige | Physical Therapy | Oregon Physical Therapy and Sports | 3620 Ne 122nd Ave C, Portland, OR 97230-1365 |
| Leslie Franson | Podiatry | 1701 Ne 122nd Ave, Portland, OR 97230-1914 | |
| Find all physicians in zip 97230 | |||
| City | PORTLAND |
| Zip Code | 97230 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PORTLAND + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Alexander Nguyen Tuan Phan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.