Organization
STEPHEN K. CHOONG, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN K CHOONG MD (OWNER)
(503) 661-6765
Entity
Organization
Contact information
Practice address
501 NE HOOD AVE, SUITE 205, GRESHAM, OR 97030-7303
(503) 661-6765
(503) 661-6789
Mailing address
501 NE HOOD AVE, SUITE 205, GRESHAM, OR 97030-7303
(503) 661-6765
(503) 661-6789
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
10395
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03349-8
—
OR
Enumeration date
08/27/2010
Last updated
08/27/2010
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