Individual
WAYNE KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3098
(503) 494-8211
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3098
(503) 494-8211
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD203715
OR
208M00000X
Hospitalist Physician
Primary
MD203715
OR
Other
Enumeration date
04/09/2018
Last updated
08/06/2021
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