Individual
HO-YANN JONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9135 SW BARNES RD STE 461, PORTLAND, OR 97225-6643
(503) 216-1150
(971) 282-0086
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
54144
MN
2084N0400X
Neurology Physician
Primary
MD166457
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
05
—
ENROLLED
—
SD
05
—
ENROLLED
—
WI
Enumeration date
06/14/2010
Last updated
02/15/2021
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