# EDNA KUNG, MD, PC

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

## Provider details

- **NPI number:** 1740517325
- **Authorized official:** DR. EDNA KUNG M.D. (PRESIDENT)
- **Authorized official phone:** (503) 734-5381

## Contact information

- **Practice address:** 2456 NW NORTHRUP ST, SUITE 1A, PORTLAND, OR 97210-3253
- **Practice address phone:** (503) 241-5117
- **Practice address fax:** (503) 243-6632
- **Mailing address:** 2456 NW NORTHRUP ST, SUITE 1A, PORTLAND, OR 97210-3253
- **Mailing address phone:** (503) 241-5117
- **Mailing address fax:** (503) 243-6632

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | MD27996 | OR | Yes |

## Other

- **Enumeration date:** 11/03/2009
- **Last updated:** 11/03/2009
