Individual
EDNA KUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
511 SW 10TH AVE, SUITE 613, PORTLAND, OR 97205-2732
(503) 222-7333
(503) 517-8588
Mailing address
4110 SE HAWTHORNE BLVD, PMB 232, PORTLAND, OR 97214-5246
(503) 734-5381
(503) 517-8588
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
G64903
CA
207V00000X
Obstetrics & Gynecology Physician
Primary
MD27996
OR
Other
Enumeration date
10/23/2007
Last updated
01/28/2008
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