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Claudia None Fong

Licensed Practical Nurse in Portland, OR. Individual provider (NPI-1).

NPI number1083173314
StatusActive
Last updated in NPPESMar 16, 2019

Details

NPI
1083173314
Entity type
Individual (NPI-1)
Name
Miss Claudia None Fong
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 16, 2019
Last updated
Mar 16, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse200830448LPNORYes

Practice location

17727 E Burnside St
Portland, OR 97233-4803

Phone 503-215-9800

Mailing address

17727 E Burnside St
Portland, OR 97233-4803

Phone 503-215-9800

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