Individual provider · Type 1 NPI

Jacqueline Mahn Kwan Wong, MD

Obstetrics & Gynecology Physician · Portland, OR

NPI number 1043609712 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Call (503) 418-4500 Map

Fax (503) 494-1678

Specialties and licenses

TaxonomyCodeLicense
Gynecology Physician 207VG0400XMD204040 (OR)
Obstetrics & Gynecology Physician Primary 207V00000X125066452 (IL)

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

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About NPI 1043609712

Jacqueline Mahn Kwan Wong, MD's National Provider Identifier is 1043609712, issued on Jan 17, 2015. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Portland, OR. The record was last updated on May 29, 2021.