Individual
KIRK L. WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 NE MOTHER JOSEPH PL STE 110, VANCOUVER, WA 98664-3293
(360) 254-6161
Mailing address
200 NE MOTHER JOSEPH PL, SUITE 210, VANCOUVER, WA 98664-3299
(360) 254-6161
(360) 449-1139
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD23597
OR
207X00000X
Orthopaedic Surgery Physician
MD40677
WA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
MD40677
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287040
—
OR
05
—
8294035
—
WA
Enumeration date
06/07/2006
Last updated
04/28/2021
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