Jennifer Kong is a Dentist in Portland, Oregon. Jennifer Kong practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jennifer Kong is 1104976737. The last update date is 2007-07-08.
Jennifer Kong's current location address is 15160 Nw Laidlaw Rd, Portland, Oregon. You can contact this provider via phone number 5035332330. The mailing address for Jennifer Kong is 15160 Nw Laidlaw Rd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Kong |
|---|---|
| Address | 15160 Nw Laidlaw Rd, Portland, Oregon |
| Phone Number | 5035332330 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1104976737 |
|---|---|
| Provider Enumeration Date | 2007-01-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 15160 Nw Laidlaw Rd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972297707 |
| Phone Number | 5035332330 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D7240 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Post Comment/ Review Below
What is the unique identifier code issued to Jennifer Kong by the Centers for Medicare & Medicaid Services?
The Jennifer Kong has been assigned the NPI (National Provider Identifier) 1104976737. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jennifer Kong is physically located?
The Jennifer Kong is situated at the following address: 15160 Nw Laidlaw Rd, Portland, OR 972297707.
What is Jennifer Kong's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jennifer Kong is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did the Jennifer Kong receive its 1104976737 assignment from the Centers for Medicare & Medicaid Services?
The Jennifer Kong was assigned its 1104976737 by the Centers for Medicare & Medicaid Services on 2007-01-12.
As of what date was the information pertaining to Jennifer Kong, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jennifer Kong, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.