NPI 1659394187

Charles Men Wong, MD

Practitioner General Practice Physician Gresham, OR

Practice location

Address: 2850 SE Powell Valley Rd, Gresham, OR 97080-1494
Phone: (503) 666-5050
Fax: (503) 666-7410
Mailing address: 4160 NE Sandy Blvd, Portland, OR 97212-5336

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence MD14849 (OR)

Other General Practice providers in Oregon →

Registry record

NPI: 1659394187
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Jul 2006
Record last updated: 3 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.