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1013929959
JOHN WEI FONG
PORTLAND, OR
NPI
1013929959
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR Pa00295)
Enumeration Date
2006-08-12
Last Update Date
2007-07-08
Business Address
Mr. JOHN WEI FONG PA
2210 SE STEELE STREET
PORTLAND, OR 97202
Phone number: 503-231-0014
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Mailing Address
Mr. JOHN WEI FONG PA
14711 NE 20TH CIR
VANCOUVER, WA 98684-7826
Phone number: 360-254-3888
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