Miss Claudia None Fong, | |
17727 E Burnside St, Portland, OR 97233-4803 | |
(503) 215-9800 | |
Not Available |
Full Name | Miss Claudia None Fong |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 17727 E Burnside St, Portland, Oregon |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083173314 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 200830448LPN (Oregon) | Primary |
Mailing Address | Practice Location Address |
---|---|
Miss Claudia None Fong, 17727 E Burnside St, Portland, OR 97233-4803 Ph: (503) 215-9800 | Miss Claudia None Fong, 17727 E Burnside St, Portland, OR 97233-4803 Ph: (503) 215-9800 |
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