Individual
DR. JULIA ANN WONG-NGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
205 SE SPOKANE ST STE 300, PORTLAND, OR 97202-6487
(503) 242-0490
(503) 238-7450
Mailing address
205 SE SPOKANE ST STE 300, PORTLAND, OR 97202-6487
(503) 242-0490
(503) 238-7450
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
708
OR
103TC0700X
Clinical Psychologist
708
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179796
—
OR
Enumeration date
10/06/2006
Last updated
03/07/2017
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