Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEREMY FONG, PA-C
ActiveJEREMY FONG, PA-C is a Surgical Physician Assistant healthcare provider located in PORTLAND, Oregon. NPI 1437566395 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · PORTLAND, OR
Registration Details
- NPI Number
- 1437566395
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 11, 2014 (12.125702287131 yrs)
- Last Updated
- Jun 15, 2018
- Licenses
-
51550 (CA)PA186549 (OR)
Practice Information
- Address
-
3181 SW SAM JACKSON PARK RDPORTLAND, OR, 97239Browse OR providers · Browse ZIP 97239
- Phone
- 5034944314
- Fax
- 5033466810
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| JENNIFER HOPE CHRISTIANSEN | P.A. | 1851394878 |
| CAROLINE MAY-SAN FUNG | P.A. | 1558364489 |
| MRS. PAULA DEANNE DIETSCH KUIPER | PA-C | 1508869157 |
| CAROLYN ANNE FRANCIS | PA-C | 1790780401 |
| CYNTHIA ANN BOHAN | PAC | 1992797039 |
| KRISTINE JOST WINDOM | PAC | 1841282357 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.