Individual
DR. AUDRY KANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
24900 SE STARK ST STE 103, GRESHAM, OR 97030-3381
(503) 935-8088
(503) 935-8082
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD203725
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500791859
—
OR
Enumeration date
05/31/2016
Last updated
09/04/2024
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