Individual
DEREK DENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 MULLINS DRIVE, LEBANON, OR 97355
(541) 259-0235
Mailing address
200 MULLINS DRIVE, LEBANON, OR 97355
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A24650
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/22/2021
Last updated
03/25/2026
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