Kelly Denise Chung in Portland - Ophthalmology
Kelly Denise Chung - NPI 1760418743
Kelly Denise Chung is a Ophthalmology in Portland, Oregon. Kelly Denise Chung practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Kelly Denise Chung is 1760418743. The last update date is 2022-01-21.
Kelly Denise Chung's current location address is Po Box 22009, Portland, Oregon. You can contact this provider via phone number 5035587372 and fax number 5033445140. The mailing address for Kelly Denise Chung is Po Box 22009, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Denise Chung |
|---|---|
| Address | Po Box 22009, Portland, Oregon |
| Phone Number | 5035587372 |
| Fax Number | 5033445140 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1760418743 |
|---|---|
| Provider Enumeration Date | 2006-06-23 |
| Last Updated Date | 2022-01-21 |
Provider Mailing Address Detail
| Address | Po Box 22009 |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972692009 |
| Phone Number | 5035587372 |
| Fax Number | 5033445140 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | MD19039 |
|
Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 65271 | OR | -- |
Post Comment/ Review Below
Could you please provide the complete physical location address of Kelly Denise Chung?
The Kelly Denise Chung is physically situated at Po Box 22009, in the city of Portland, state of OR, with the postal code 972692009.
When was the Kelly Denise Chung's 1760418743 issued?
The Kelly Denise Chung's 1760418743 was issued on 2006-06-23.
On what date did the Centers for Medicare & Medicaid Services issue the 1760418743 to Kelly Denise Chung?
The Kelly Denise Chung received its 1760418743 assignment from the Centers for Medicare & Medicaid Services on 2006-06-23.
When was the Kelly Denise Chung's information last updated?
The Kelly Denise Chung's information was last updated on 2022-01-21.
When was the information pertaining to Kelly Denise Chung most recently updated or revised?
The details related to Kelly Denise Chung, including its address, specialty, and other relevant information, were last updated or revised on 2022-01-21.
NPI Number: 1154329126
Address: 3301 New Mexico Ave Nw Ste 346nw, Washington, DC