Dr Alfonso Oliva Tan, MD is a
Internal Medicine physician based in Winchester, Oregon. Dr Alfonso Oliva Tan is licensed to practice in Oregon (license number MD13317) and his current practice location is 305 Thora Circle Dr., Winchester, Oregon. He can be reached at his office (for appointments etc.) via phone at
(541) 673-4516.
NPI number for Dr Alfonso Oliva Tan is 1407085210 and his current mailing address is Po Box 534, Winchester, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407085210.
Physician's Profile
| Full Name | Dr Alfonso Oliva Tan |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 305 Thora Circle Dr., Winchester, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1407085210
- Provider Enumeration Date: 07/14/2009
- Last Update Date: 07/14/2009
Medical Identifiers
Medical identifiers for Dr Alfonso Oliva Tan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407085210 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | MD13317 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Alfonso Oliva Tan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Alfonso Oliva Tan, MD
Po Box 534,
Winchester, OR 97495-0534
Ph: (541) 673-4516 | Dr Alfonso Oliva Tan, MD
305 Thora Circle Dr.,
Winchester, OR 97495
Ph: (541) 673-4516 |
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