Individual
ALLEN C CHENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, DDS
Contact information
Practice address
1849 NW KEARNEY ST, SUITE 300, PORTLAND, OR 97209
(503) 224-1371
Mailing address
1849 NW KEARNEY ST, SUITE 300, PORTLAND, OR 97209-1453
(503) 224-1371
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
D10084
OR
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
MD157371
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500671078
—
OR
Enumeration date
04/21/2010
Last updated
10/02/2020
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