Hanny A Tan (NPI# 1881770501, PAC ID# 7315998077) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1881770501 |
| PAC ID by PECOS | 7315998077 |
| Professional Enrollment ID | I20050210000085 |
| Full Name | Hanny A Tan |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES OREGON |
| Address |
315 Se Stonemill Dr 102 Providence Medical Group Mill Plain Vancouver WA 98684-6787 |
| Phone Number | 3608162700 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF HEALTH SCIENCES/CHICAGO MEDICAL SCHOOL |
| Graduation Year | 1996 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0648183608 |
| Number of Group Practice Members | 1163 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380004 | PROVIDENCE ST VINCENT MEDICAL CENTER |
| 380061 | PROVIDENCE PORTLAND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 18040 Sw Lower Boones, Ferry Rd Ste100, Tigard, OR 97224-7259 | 5032160700 | PROVIDENCE HEALTH AND SERVICES OREGON |
| 315 Se Stonemill Dr, 102 Providence Medical Group Mill Plain, Vancouver, WA 98684-6787 | 3608162700 | PROVIDENCE HEALTH AND SERVICES OREGON |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES OREGON |
| Physicians | 1491 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yeong Paul Park | Physical Therapy | Providence Health and Services Oregon | 1627 Woods Ct, Prov Gorg Spi/spo M, Hood River, OR 97031-2915 |
| Traci Ackron | Family Medicine | Providence Health and Services Oregon | 909 Sw 18th Ave, Prov Med Gr Spor Car, Portland, OR 97205-1705 |
| Tierney Newman | Nurse Practitioner | Providence Health and Services Oregon | 4004 Kruse Way Pl, Suite 300, Lake Oswego, OR 97035-2479 |
| Angie R Cronin | Psychologist, Clinical | Providence Health and Services Oregon | 1332 S Shasta Ave, Suite A, Eagle Point, OR 97524-8623 |
| Jennifer N Herr | Nurse Practitioner | Providence Health and Services Oregon | 4805 Ne Glisan, Portland, OR 97213-2933 |
| Jaecelle Guadiz Galeniece | Family Medicine | Providence Health and Services Oregon | 1003 Providence Dr, Suite 325, Newberg, OR 97132-7521 |
| Amelia H Baker | Family Medicine | Providence Health and Services Oregon | 4920 N Interstate Ave, Portland, OR 97217-3653 |
| Sandra Iloka | Family Medicine | Providence Health and Services Oregon | 16770 Sw Edy Rd, 102 Pmg Sherwood Imed Cr, Sherwood, OR 97140-9679 |
| Duy Quang Tran | Family Medicine | Providence Health and Services Oregon | 839 Ne Holladay St, Portland, OR 97232-3521 |
| Steven Vorenkamp | Orthopedic Surgery | Providence Health and Services Oregon | 814 13th St, Hood River, OR 97031-1210 |
| Street Address |
315 SE STONEMILL DR 102 PROVIDENCE MEDICAL GROUP MILL PLAIN |
| City | VANCOUVER |
| State | WA |
| Zip | 98684-6787 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lian R Shaw | Cardiovascular Disease (cardiology) | Providence Health and Services Oregon | 315 Se Stonemill Dr, Suite 220, Vancouver, WA 98684-6987 |
| Rebecca Ann Fausel | Gastroenterology | Oregon Clinic PC | 315 Se Stonemill Dr, Suite 220, Vancouver, WA 98684-6987 |
| Charles R Cannan | Interventional Cardiology | Providence Health and Services Oregon | 315 Se Stonemill Dr, 220 Prov St Vincent Heart Clinics Cardio Mill Plain, Vancouver, WA 98684-6987 |
| Meghan Rochelle Moyle | Family Medicine | Providence Health and Services Oregon | 315 Se Stonemill Dr, 102 Providence Medical Group Mill Plain, Vancouver, WA 98684-6787 |
| Hongshi Xu | Nephrology | Pacific Kidney and Hypertension LLC | 315 Se Stonemill Dr, Suite 220, Vancouver, WA 98684-6987 |
| Christine B Green | Psychologist, Clinical | Providence Health and Services Oregon | 315 Se Stonemill Dr, 102 Providence Medical Group Mill Plain, Vancouver, WA 98684-6787 |
| Ann-marie Yost | Neurosurgery | Oregon Clinic PC | 315 Se Stonemill Dr, Suite 220, Vancouver, WA 98684-6987 |
| Jamie L Dailey | Family Medicine | Providence Health and Services Oregon | 315 Se Stonemill Dr, 102 Providence Medical Group Mill Plain, Vancouver, WA 98684-6787 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brent G Barker | Podiatry | 18007 Ne 26th St, Vancouver, WA 98684-0735 | |
| Kim Forgione | Optometry | 1900 Ne 162nd Ave, Suite D103, Vancouver, WA 98684-3015 | |
| Shelby G Wickhorst | Optometry | Shelby Wickhorst Od PC | 1901 Ne 162nd Ave D, Vancouver, WA 98684-3022 |
| Timothy F Vrtiska | Ophthalmology | University Professional Services | 312 Se Stonemill Dr, Suite 150, Vancouver, WA 98684-3547 |
| Daniel L Gradin | Ophthalmology | University Professional Services | 312 Se Stonemill Dr, Suite 150, Vancouver, WA 98684-3547 |
| Bei Wang | Internal Medicine | Kaiser Foundation Health Plan of The Northwest | 12607 Se Mill Plain Blvd, Vancouver, WA 98684-4098 |
| Connie Y Kuo | Otolaryngology | Kaiser Foundation Health Plan of The Northwest | 12607 Se Mill Plain Blvd, Vancouver, WA 98684-4098 |
| Kerry A Matthews | Family Medicine | Kaiser Foundation Health Plan of The Northwest | 12607 Se Mill Plain Blvd, Vancouver, WA 98684-4098 |
| Juan E Munoz Oca | Family Medicine | Kaiser Foundation Health Plan of The Northwest | 12607 Se Mill Plain Blvd, Vancouver, WA 98684-4098 |
| Khurram Naqvi | Internal Medicine | Kaiser Foundation Health Plan of The Northwest | 12607 Se Mill Plain Blvd, Vancouver, WA 98684-4098 |
| Find all physicians in zip 98684 | |||
| City | VANCOUVER |
| Zip Code | 98684 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | VANCOUVER + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Hanny A Tan.
| 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.