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NPI Profile for Dr JACQUELINE M WONG in PORTLAND, OR.
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Obstetrics & Gynecology |
207V00000X | 16 | Physician/Obstetrics & Gynecology | |
Gynecology |
207VG0400X | 16 | Physician/Obstetrics & Gynecology |
| NPI Number | 1043609712 |
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| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 01/17/2015 | |
| Last updated | 05/29/2021 - About 5 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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JACQUELINE M WONG
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| PROVIDENCE HEALTH & SERVICES OREGON 4805 NE GLISAN ST PORTLAND, OR |
| BRIDGETOWN MEDICAL GROUP P.C. 10000 SE MAIN ST PORTLAND, OR |
JACQUELINE M WONG, MD