Individual
ASHLEY CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3280 NE BROADWAY ST., PORTLAND, OR 97232
(503) 282-0521
Mailing address
3280 NE BROADWAY ST., PORTLAND, OR 97232
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10839
OR
122300000X
Dentist
64766
CA
Other
Enumeration date
08/16/2015
Last updated
02/24/2019
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