| Hung D Tran Md Llc | |
|
875 Oak St Se Ste 3070 Salem OR 97301-3975 | |
| (503) 585-7454 | |
| (503) 585-9254 |
| Full Name | Hung D Tran Md Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 875 Oak St Se, Salem, Oregon |
| Authorized Official Name and Position | Hung D Tran (PHYSICIAN) |
| Authorized Official Contact | 5035857454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hung D Tran Md Llc 875 Oak St Se Ste 3070 Salem OR 97301-3975 Ph: (503) 585-7454 | Hung D Tran Md Llc 875 Oak St Se Ste 3070 Salem OR 97301-3975 Ph: (503) 585-7454 |
| NPI Number | 1659686426 |
|---|---|
| Provider Enumeration Date | 08/17/2010 |
| Last Update Date | 08/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659686426 | NPI | - | NPPES |
| 055488 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 16732 (Oregon) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 16732 (Oregon) | Secondary |
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