Anita Tam Su, MD Valid NPI

Individual provider · Allergy Physician · Portland, OR

NPI

1891905261

Type

Individual (Type 1)

Primary specialty

Allergy Physician (Allergy & Immunology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207KA0200X

License number

MD19238 (OR)

Sex

Female

Sole proprietor

No

Enumerated

2007-05-23

Last updated

2007-07-08