Individual
BRIAN FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7101 NE 137TH AVE, VANCOUVER, WA 98682-4933
(360) 944-4398
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2031
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
29470
CA
225100000X
Physical Therapist
Primary
PT60280750
WA
Other
Enumeration date
11/29/2006
Last updated
03/20/2026
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