Individual
JENNY H WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5050 NE HOYT ST STE 625, PORTLAND, OR 97213-2990
(503) 731-2900
Mailing address
5050 NE HOYT ST STE 625, PORTLAND, OR 97213-2990
(503) 731-2900
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
34010870
OH
2085R0202X
Diagnostic Radiology Physician
5101017374
MI
2085R0202X
Diagnostic Radiology Physician
Primary
DO218387
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34010870
OHIO MEDICAL LICENSE
OH
Enumeration date
07/31/2007
Last updated
03/19/2024
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