Individual
DR. MICAH AKM WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
525 N SANTIAM HWY, LEBANON, OR 97355-4363
(541) 451-7125
(541) 663-4338
Mailing address
525 N SANTIAM HWY, LEBANON, OR 97355-4363
(541) 451-7125
(541) 663-4338
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
64057
OR
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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