Individual
KELVIN KA WAI NG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD # PV 350, PORTLAND, OR 97239
(503) 494-6551
Mailing address
3181 SW SAM JACKSON PARK RD # L-475, PORTLAND, OR 97239-3011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0092650
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2017
Last updated
07/19/2022
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