Individual
TSZ HO WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 NE KENNETH FORD DR, ROSEBURG, OR 97470-1042
(541) 672-9596
Mailing address
150 NE KENNETH FORD DR, ROSEBURG, OR 97470-1042
(541) 672-9596
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2017043010
MO
207Q00000X
Family Medicine Physician
Primary
PG199359
OR
Other
Enumeration date
04/18/2018
Last updated
06/09/2021
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