Individual
MISS CLAUDIA NONE FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17727 E BURNSIDE ST, PORTLAND, OR 97233-4803
(503) 215-9800
Mailing address
17727 E BURNSIDE ST, PORTLAND, OR 97233-4803
(503) 215-9800
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
200830448LPN
OR
Other
Enumeration date
03/16/2019
Last updated
03/16/2019
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