Individual
ALEXANDRIA WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2510 GAME FARM RD, SPRINGFIELD, OR 97477-7513
(855) 433-6825
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
(855) 433-6825
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12251
OR
1223G0001X
General Practice Dentistry
Primary
RES-30724
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/03/2025
Last updated
07/10/2026
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