# MARK W CHENG LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497251904
- **Authorized official:** MARK W CHENG MD (OWNER)
- **Authorized official phone:** (347) 302-3470

## Contact information

- **Practice address:** 1675 SW MARLOW AVE STE 202, PORTLAND, OR 97225-5102
- **Practice address phone:** (503) 430-1777
- **Mailing address:** 3725 SE OGDEN ST, PORTLAND, OR 97202-7826
- **Mailing address phone:** (347) 302-3470

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | MD183687 | OR | Yes |

## Other

- **Enumeration date:** 04/03/2018
- **Last updated:** 05/11/2018