Individual
AUMYOT PRONGDONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10201 SE MAIN ST STE 27, PORTLAND, OR 97216-2937
(503) 256-0877
(503) 256-4188
Mailing address
1130 NW 22ND AVE STE 640, PORTLAND, OR 97210-2993
(503) 229-7976
(503) 274-4867
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
MD-20827
HI
207RN0300X
Nephrology Physician
Primary
MD176147
OR
Other
Enumeration date
05/21/2008
Last updated
07/12/2023
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