Individual
MILIE FANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3303 S BOND AVE DEPT, PORTLAND, OR 97239-4501
(503) 494-1375
Mailing address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
DO.OP.61660584
WA
207N00000X
Dermatology Physician
Primary
PG215976
OR
Other
Enumeration date
05/27/2020
Last updated
06/20/2025
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