Individual
MARGARET YUAN-FONG KWONG NG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1111 NE 99TH AVE STE 301, PORTLAND, OR 97220-9442
(503) 963-2707
(503) 963-2802
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA206830
OR
363AM0700X
Medical Physician Assistant
PA61158299
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2186058
—
WA
05
—
500797340
—
OR
Enumeration date
11/21/2017
Last updated
11/04/2024
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