Individual
DR. RICHARD M WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1025 NW COUCH ST APT 612, PORTLAND, OR 97209-4130
(503) 224-0743
(503) 212-0206
Mailing address
1025 NW COUCH ST APT 612, PORTLAND, OR 97209-4130
(503) 224-0743
(503) 212-0206
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
MD00034518
WA
207VG0400X
Gynecology Physician
Primary
MD11690
OR
Other
Enumeration date
08/15/2006
Last updated
12/05/2012
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