Individual
WAYNE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3500 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(503) 331-6170
Mailing address
3500 N INTERSTATE AVE, PORTLAND, OR 97227-1196
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
81010
MN
207RG0100X
Gastroenterology Physician
MD00034986
WA
207RG0100X
Gastroenterology Physician
Primary
MD16753
OR
Other
Enumeration date
02/14/2007
Last updated
11/11/2025
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