person
Jeremy Fong, PA-C
Surgical Physician Assistant in Portland, Oregon
NPI 1437566395

Jeremy Fong is a Surgical Physician Assistant based in Portland, OR and is specialized in Surgical. Jeremy Fong practices in Portland, OR and has the professional credentials of PA-C. The NPI Number for Jeremy Fong is 1437566395 and holds a License No. 51550 (Oregon).

The current practice location address for Jeremy Fong is 3181 Sw Sam Jackson Park Rd, Portland, OR and can be reached out via phone at 503-494-4314 and via fax at 503-346-6810.

Location: 3181 Sw Sam Jackson Park Rd, Portland, OR, 97239-3011
person
Provider Profile Details
NPI Number
1437566395
Provider Name
Jeremy Fong
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
3181 Sw Sam Jackson Park Rd, Portland, OR, 97239-3011
Phone Number
503-494-4314
Fax Number
503-346-6810
Provider Enumeration Date
07/11/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239
Phone Number
503-494-4314
Fax Number
503-346-6810
person
Provider Business Mailing Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239
Phone Number
503-494-4314
Fax Number
503-346-6810
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
51550 (California)
Definition
Definition to come...
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