Individual
DR. PATRICK KWONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
10819 SE STARK ST, PORTLAND, OR 97216
(503) 255-2291
(503) 252-1797
Mailing address
PO BOX 22009, PORTLAND, OR 97269
(503) 558-7372
(503) 344-5140
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ATI3470
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500650154
—
OR
Enumeration date
08/30/2005
Last updated
02/06/2026
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