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Individual

MAKANA WONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
818 NW 14TH AVE, PORTLAND, OR 97209-2703
(503) 277-3479
Mailing address
16083 SW UPPER BOONES FERRY RD STE 300, PORTLAND, OR 97224-7736
(503) 443-6156

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
06/02/2025
Last updated
06/02/2025
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