Individual
ALLY LI WADA WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14645 SW FARMINGTON RD, BEAVERTON, OR 97007-2727
(503) 643-8626
Mailing address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
OR
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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