Dr. Audry Kang, M.D.
Urology in Gresham, OR. Individual provider (NPI-1).
NPI number1023466182
StatusActive
Last updated in NPPESSep 4, 2024
Details
- NPI
- 1023466182
- Entity type
- Individual (NPI-1)
- Name
- Dr. Audry Kang
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 31, 2016
- Certification date
- Sep 4, 2024
- Last updated
- Sep 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | MD203725 | OR | Yes |
Practice location
24900 Se Stark St Ste 103Gresham, OR 97030-3381
Phone 503-935-8088 · Fax 503-935-8082
Mailing address
541 Ne 20th Ave Ste 225Portland, OR 97232-2895
Phone 503-963-2801
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