Individual
DR. HIM YENG PRISCILLA MONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
214 N RUSSELL ST, PORTLAND, OR 97227-1620
(503) 494-6822
Mailing address
214 N RUSSELL ST, PORTLAND, OR 97227-1620
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9559
OR
122300000X
Dentist
DE60203626
WA
Other
Enumeration date
04/18/2011
Last updated
10/08/2020
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