Individual
ILIA FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
6355 NE CORNELL RD, HILLSBORO, OR 97124-5434
(503) 346-0640
(503) 346-0645
Mailing address
6355 NE CORNELL RD, HILLSBORO, OR 97124-5434
(503) 346-0640
(503) 346-0645
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
030788
OR
231H00000X
Audiologist
AU2951
CA
Other
Enumeration date
02/11/2014
Last updated
07/12/2022
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