AUMYOT PRONGDONG MD
Individual Provider (NPI-1)
Active
Internal Medicine, Nephrology
Provider Information
- NPI Number
1881851368- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 10201 SE MAIN ST STE 27, PORTLAND, OR, 972162937
- Phone
- (503) 256-0877
- Fax
- (503) 256-4188
Specialties & Taxonomies
Internal Medicine, Nephrology
License: HI #MD-20827
Internal Medicine, Nephrology
Primary License: OR #MD176147