Individual
AILEEN KANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2801 N GANTENBEIN AVE, PORTLAND, OR 97227
(503) 413-2042
(503) 413-2566
Mailing address
PO BOX 4399, PORTLAND, OR 97208-4399
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD177594
OR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/18/2013
Last updated
11/03/2018
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