Individual
LINDA PENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8211
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8211
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD191780
OR
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
MD191780
OR
Other
Enumeration date
03/24/2017
Last updated
09/02/2021
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