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MR. JOHN WEI FONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
2210 SE STEELE STREET, PORTLAND, OR 97202
(503) 231-0014
(503) 233-1592
Mailing address
14711 NE 20TH CIR, VANCOUVER, WA 98684-7826
(360) 254-3888

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00295
OR

Other

Enumeration date
08/12/2006
Last updated
07/08/2007
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