Individual
MR. LIN KONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
7636 SE FOSTER RD, PORTLAND, OR 97206-5225
(503) 473-3613
(503) 972-1849
Mailing address
5809 SE 83RD AVE, PORTLAND, OR 97266-4823
(503) 473-3613
(503) 972-1849
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC159834
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500653609
—
OR
01
—
6084454
CIGNA PROVIDER ID
—
Enumeration date
11/15/2012
Last updated
01/16/2025
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