Individual
KIM DANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1401 N 10TH AVE STE 100, STAYTON, OR 97383-1486
(503) 769-6386
Mailing address
1401 N 10TH AVE STE 100, STAYTON, OR 97383-1486
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD176487
OR
Other
Enumeration date
04/08/2012
Last updated
05/24/2020
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