Individual
CLARICE AUDREY CHENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19185 SW 90TH AVE, TUALATIN, OR 97062-7558
(503) 723-6699
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD28391
OR
Other
Enumeration date
12/31/2008
Last updated
10/14/2020
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