Individual
DR. CHARLENE UY ANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3303 SW BOND AVE # 5D, PORTLAND, OR 97239-4501
(503) 494-6381
Mailing address
6444 SW MIDMAR PL, PORTLAND, OR 97223-7589
(732) 539-5973
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
FE156860
OR
Other
Enumeration date
05/10/2012
Last updated
05/10/2012
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