Individual provider · Type 1 NPI
Charles Men Wong, MD
General Practice Physician · Gresham, OR
NPI number
1659394187
Active
Practice location
2850 SE Powell Valley Rd
Gresham, OR 97080-1494
Fax (503) 666-7410
Mailing address
4160 NE Sandy Blvd
Portland, OR 97212-5336
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | MD14849 (OR) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1659394187
Charles Men Wong, MD's National Provider Identifier is 1659394187, issued on Jul 25, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Gresham, OR. The record was last updated on Nov 3, 2016.