Individual
DR. STEPHEN K. CHOONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 NE HOOD AVE, SUITE 205, GRESHAM, OR 97030-7303
(503) 661-6765
(503) 661-6789
Mailing address
501 NE HOOD AVE, SUITE 205, GRESHAM, OR 97030-7303
(503) 661-6765
(503) 661-6789
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
10395
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03349-8
—
OR
Enumeration date
10/04/2006
Last updated
07/09/2007
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