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1194469320
JONATHAN PAK KIN FENG
PORTLAND, OR
NPI
1194469320
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: OR PG211868)
Enumeration Date
2022-04-25
Last Update Date
2022-06-20
Business Address
JONATHAN PAK KIN FENG MD
9205 SW BARNES RD STE MT2800
PORTLAND, OR 97225-6603
Phone number: 503-216-2621
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Mailing Address
JONATHAN PAK KIN FENG MD
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494
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