IndividualActive
Alfonso Tan, MD
NPI 1407085210 · Internal Medicine Physician · Winchester, OR
Provider details
- NPI number
- 1407085210
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD13317 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
305 Thora Circle Dr.
Winchester, OR 97495
Phone: (541) 673-4516
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 534
Winchester, OR 97495-0534
Registry dates
- Enumerated
- 2009-07-14
- Last updated
- 2009-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.