Individual
ALICE KUANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
5050 NE HOYT ST STE 655, PORTLAND, OR 97213-2990
(503) 488-2400
(503) 231-0121
Mailing address
847 NE 19TH AVE STE 300, PORTLAND, OR 97232-2686
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
31017
OR
231H00000X
Audiologist
3427
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500803312
—
OR
Enumeration date
11/04/2019
Last updated
03/11/2022
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