Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223X0400X | Orthodontists | 2901600531 | MI |
Y | 1223X0400X | Orthodontists | DE61131746 | WA |
NPI | 1003425208 |
---|---|
Provider Name | Dr. Hsin-Chuan Pan |
First Address | Hillsboro, OR 97124-5611 |
Second Address | Tacoma, WA 98409-9908 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2020 |
Last Update Date | 22/07/2021 |