Individual
DR. SOPHIA YING FANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MS
Contact information
Practice address
9735 SW SHADY LN STE 203, TIGARD, OR 97223-5481
(503) 635-4436
(971) 317-0283
Mailing address
14521 265TH PL NE, DUVALL, WA 98019-8363
(213) 663-7484
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
10772872-1205
UT
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
MD198768
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/17/2011
Last updated
07/14/2020
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