Individual
JONATHAN PAK KIN FENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9205 SW BARNES RD STE MT2800, PORTLAND, OR 97225-6603
(503) 216-2621
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PG211868
OR
Other
Enumeration date
04/25/2022
Last updated
06/20/2022
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