IndividualActive
Albert Phan, D.O.
NPI 1972970093 · Family Medicine Physician · Beaverton, OR
Provider details
- NPI number
- 1972970093
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- DO187536 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1960 Nw 167th Pl Ste 100
Beaverton, OR 97006-4805
Phone: (503) 672-6000
Fax: (503) 672-6001
Approximate (ZIP-level) locationGet directions
Mailing address
1960 Nw 167th Pl Ste 100
Beaverton, OR 97006-4805
Additional practice locations (2)
- 1700 Se Hillmoor DrPort St Lucie, FL 34952-7539Phone: (772) 398-7936Fax: (772) 398-7970
- 12350 Nw Main St Ste 112Banks, OR 97106-9045Phone: (503) 324-1568
Registry dates
- Enumerated
- 2015-08-24
- Last updated
- 2021-02-03
- Certified
- 2021-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.