Individual
SHANNA CHENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25050 SE STARK ST, GRESHAM, OR 97030-3327
(503) 674-1848
Mailing address
PO BOX 3777, PORTLAND, OR 97208-3777
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD209541
OR
207RG0100X
Gastroenterology Physician
Primary
MD209541
OR
Other
Enumeration date
04/03/2019
Last updated
07/17/2025
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