Individual
JENNIFER TAN ONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2005 W MAIN ST, BATTLE GROUND, WA 98604-4311
(360) 882-2778
(360) 604-1762
Mailing address
PO BOX 873010, VANCOUVER, WA 98687-3010
(360) 882-2778
(360) 604-1762
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5916
SD
207Q00000X
Family Medicine Physician
Primary
MD60621126
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2061732
—
WA
Enumeration date
09/16/2006
Last updated
09/27/2016
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