Individual
DR. LANCEFORD M CHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8756
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8756
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD184236
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02668642
—
NY
01
—
J44104
BLUE CROSS AND BLUE SHIELD OF MASS
MA
Enumeration date
08/14/2006
Last updated
08/15/2023
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