Individual
DR. CHARLES MEN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2850 SE POWELL VALLEY RD, GRESHAM, OR 97080-1494
(503) 666-5050
(503) 666-7410
Mailing address
4160 NE SANDY BLVD, PORTLAND, OR 97212-5336
(503) 249-9000
(503) 719-6823
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD14849
OR
Other
Enumeration date
07/25/2006
Last updated
11/03/2016
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