Individual
CAITLIN H CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
15405 SW 116TH AVE STE 208, PORTLAND, OR 97224-4101
(503) 936-1590
Mailing address
8087 SE HAYLOFT ST, HILLSBORO, OR 97123-2107
(503) 936-1590
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11661
OR
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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