Individual
N MICHELLE SANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2701 NW VAUGHN ST, STE 205, PORTLAND, OR 97210-5352
(503) 227-4050
(503) 477-7673
Mailing address
1130 NW 22ND AVE, SUITE 120, PORTLAND, OR 97210-2900
(503) 229-7353
(503) 229-7255
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD20041
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081661
—
OR
Enumeration date
09/28/2006
Last updated
12/16/2020
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