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NPI 1891905261

IndividualActive

Anita Tam Su, MD

NPI 1891905261 · Allergy Physician · Portland, OR

Provider details

NPI number: 1891905261
Entity type: Individual
Primary specialty: Allergy PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Female
Sole proprietor: No
License: MD19238 (OR)

Practice location

545 Ne 47th Ave

Ste. 310

Portland, OR 97213-2238

Phone: (503) 238-6233

Fax: (503) 231-7668

More OR providers

Mailing address

545 Ne 47th Ave

Portland, OR 97213-2238

Registry dates

Enumerated: 2007-05-23
Last updated: 2007-07-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Anita Tam Su, MD — NPI 1891905261, Portland, OR | NPI Central