Individual
MR. ROLANDO LUIS CHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHT2
Contact information
Practice address
326 CARNELIA ST SE, SALEM, OR 97306-2077
(503) 581-2418
Mailing address
326 CARNELIA ST SE, SALEM, OR 97306-2077
(503) 581-2418
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
843689354
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
519207
OREGON HEALTH AUTHORITY
OR
Enumeration date
11/29/2019
Last updated
12/02/2019
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