Individual
MERCEDES CHOI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8122 SE TIBBETTS ST, PORTLAND, OR 97206-1768
(503) 255-1111
Mailing address
8122 SE TIBBETTS ST, PORTLAND, OR 97206-1768
(971) 255-1111
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
OR
363A00000X
Physician Assistant
—
—
Other
Enumeration date
06/05/2019
Last updated
10/11/2021
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