Individual
CAROLIN SACHIKO KONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9135 SW BARNES RD STE 861, PORTLAND, OR 97225-6777
(503) 216-1032
Mailing address
9135 SW BARNES RD STE 861, PORTLAND, OR 97225-6777
(503) 216-1032
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202002630NP-PP
OR
363LF0000X
Family Nurse Practitioner
27371
TN
Other
Enumeration date
04/14/2020
Last updated
01/29/2026
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