DR. CHARLES MEN WONG (NPI# 1659394187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659394187 |
| Entity Type | Individual |
| Full Name | DR. CHARLES MEN WONG |
| Credential | MD |
| Practice Address |
2850 Se Powell Valley Rd Gresham OR 97080-1494 |
| Mailing Address |
4160 Ne Sandy Blvd Portland OR 97212-5336 |
| Practice Telephone | 5036665050 |
| Practice Fax Number | 5036667410 |
| Mailing Telephone | 5032499000 |
| Mailing Fax Number | 5037196823 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2016-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | MD14849 | OR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801890314 | Charles Chu-li Wong | Internal Medicine | 1729 Kinneys Lane, Suite 203, Portsmouth, OH 45662-3167 | 2005-06-13 |
| 1588283766 | Charles Wong | Student in an Organized Health Care Education/Training Program | 400 W Mineral King Ave, Visalia, CA 93291-6237 | 2020-04-08 |
| 1255508131 | Charles David Wong | Surgery | 9500 Stockdale Hwy, Suite #109, Bakersfield, CA 93311-3620 | 2008-05-10 |
| 1063401248 | Charles W Wong | Family Medicine | 310 S Main St, Hartford, KY 42347-1129 | 2005-10-19 |
| Street Address |
2850 SE POWELL VALLEY RD |
| City | GRESHAM |
| State | OR |
| Zip Code | 97080-1494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003898149 | Kimberly Pohlman | Physician Assistant | 2850 Se Powell Valley Rd, Gresham, OR 97080-1494 | 2005-11-15 |
| 1215582861 | Joshua Gardner Snow | Physician Assistant | 2850 Se Powell Valley Rd, Gresham, OR 97080-1494 | 2019-08-08 |
| 1134609043 | Jennifer Stephens | Physician Assistant | 2850 Se Powell Valley Rd, Gresham, OR 97080-1494 | 2018-08-20 |
| 1114407301 | Crystal Luna | Nurse Practitioner | 2850 Se Powell Valley Rd, Gresham, OR 97080 | 2018-08-16 |
| 1295248003 | Alexandra Marie Sigmon | Nurse Practitioner | 2850 Se Powell Valley Rd, Gresham, OR 97080-1494 | 2017-11-15 |
| 1427584077 | Margeaux Danielle Schmerler | Physician Assistant | 2850 Se Powell Valley Rd, Gresham, OR 97080 | 2017-05-02 |
| 1841737889 | Zubaida Abdulai | Nurse Practitioner | 2850 Se Powell Valley Rd, Gresham, OR 97080 | 2017-01-29 |
| 1154872638 | Theresa Rene Jones | Physician Assistant | 2850 Se Powell Valley Rd, Gresham, OR 97080 | 2016-10-19 |
| 1225481906 | Maci Pfaffenberger | Physician Assistant | 2850 Se Powell Valley Rd, Gresham, OR 97080 | 2016-07-19 |
| 1174997423 | Valleyview Injury & Physical Medicine, PC | Neuromusculoskeletal Medicine & OMM | 2850 Se Powell Valley Rd, Suite 205, Gresham, OR 97080-1494 | 2015-11-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528428554 | Jeffrey Henry Lucero | Social Worker | 4687 Se 1st Terrace, Gresham, OR 97080 | 2016-03-03 |
| 1124371059 | Nickole Turner | Massage Therapist | 2831 Se Palmquist Rd #157, Gresham, OR 97080 | 2012-10-16 |
| 1992061048 | Russell A Wendt | Pharmacist | 2497 Ne Roberts Ave, Gresham, OR 97080 | 2012-04-03 |
| 1821385584 | Angela West | Counselor | 320 Sw 6th Ave., Gresham, OR 97080 | 2011-07-01 |
| 1043543572 | Natalie Dawn Wilson | Behavioral Analyst | 97 Sw Riverview Place, Gresham, OR 97080 | 2009-09-16 |
| 1427205442 | Maria G Jolley | Dental Hygienist | 1267 Se Stapleton Loop, Gresham, OR 97080 | 2008-08-21 |
| 1073776738 | Sabrina Joye Hindman | Marriage & Family Therapist | 6370 Se 26th St, Gresham, OR 97080 | 2008-07-03 |
| 1669676193 | Kimberly Sabin | Nurse Practitioner | 2222 E Powell Blvd, Gresham, OR 97080 | 2007-06-11 |
| 1932223880 | Julie Elizabeth Croshaw | Pharmacist | 2444 E Powell Blvd, Gresham, OR 97080 | 2007-03-18 |
| 1508903261 | Lonetta Elise Davis | Adult Companion | 349 Se Plamblad, Gresham, OR 97080 | 2007-01-31 |
| Find all providers in zip 97080 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326230517 | Gresham Naturopathic Clinic, P.C. | General Practice | 1217 Ne Burnside Rd, Suite 702, Gresham, OR 97030-6722 | 2007-08-13 |
| 1578776670 | Cheryl C. Tidball Do PC | General Practice | 1217 Ne Burnside Rd, Suite 101, Gresham, OR 97030-6722 | 2007-05-07 |
| 1043233570 | Mark Eric Hosko | General Practice | 2850 Se Powell Valley Rd, Gresham, OR 97080-1494 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234674 | Sme Hawaii PC Inc | General Practice | 6021 Se Heike St, Hillsboro, OR 97123-8296 | 2020-10-27 |
| 1194223107 | Landmark Connect of Oregon PC | General Practice | 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 | 2018-01-24 |
| 1346751443 | Providence Health & Services Oregon | General Practice | 4400 Ne Halsey St, Pop 2, 3rd Floor, Portland, OR 97213-1545 | 2017-10-16 |
| 1801333901 | Kaiser Foundation Health Plan of The Northwest | General Practice | 3175 Nw Aloclek Dr, Hillsboro, OR 97124-7135 | 2017-01-26 |
| 1336697143 | Rita Lawler | General Practice | 8353 Se Clatsop Ct, Portland, OR 97266-6159 | 2016-09-21 |
| 1821541939 | Samuel R. Sabo | General Practice | 18171 Waldow Rd., Oregon City, OR 97045 | 2016-07-26 |
| 1659730760 | Propel Network, LLC | General Practice | 14525 Sw Millikan Way, Beaverton, OR 97005-2343 | 2016-02-17 |
| 1235526849 | Hollis Lule Augee | General Practice | 5151 S.w. 88th Ave., Portland, OR 97225-1717 | 2015-04-21 |
| 1023428034 | Victoria L. Larson | General Practice | 10,000 Se 222nd Ave., Damascus, OR 97089-6517 | 2014-04-29 |
| 1093134496 | Red Leaf Natural Health Clinic | General Practice | 833 Sw 11th Ave Ste 1018, Portland, OR 97205-2124 | 2014-04-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. CHARLES MEN WONG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.