Individual
DR. CLIFFTON T.H. BONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 N VANCOUVER AVE STE 230, PORTLAND, OR 97227
(503) 413-4340
(503) 413-4898
Mailing address
PO BOX 4399, PORTLAND, OR 97208-4399
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD24706
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227392
—
OR
Enumeration date
10/24/2006
Last updated
08/14/2018
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