Organization
MARK W CHENG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK W CHENG MD (OWNER)
(347) 302-3470
Entity
Organization
Contact information
Practice address
1675 SW MARLOW AVE STE 202, PORTLAND, OR 97225-5102
(503) 430-1777
Mailing address
3725 SE OGDEN ST, PORTLAND, OR 97202-7826
(347) 302-3470
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD183687
OR
Other
Enumeration date
04/03/2018
Last updated
05/11/2018
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