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Individual

MITH LENG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9800 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9750
(503) 813-0378
Mailing address
9800 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9750
(503) 813-0378

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD27317
OR

Other

Enumeration date
05/24/2006
Last updated
07/10/2007
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