WIJAN PRAPONG

PORTLAND, OR
NPI1184804437
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: OR  MD126187)
Additional Taxonomies207R00000X Internal Medicine
(Licence: CA  A101420)
Enumeration Date2007-11-04
Last Update Date2009-08-19
Business Address
Dr. WIJAN PRAPONG M.D.
19500 SE STARK ST
PORTLAND, OR 97233-5757
Phone number: 503-669-3900
Mailing Address
Dr. WIJAN PRAPONG M.D.
19500 SE STARK ST
PORTLAND, OR 97233-5757
Phone number: