Bong, Cliffton T.H.

Bong, Cliffton T.H. is an sole proprietor health care provider with primary practice located at 2800 N Vancouver Ave Ste 230 , Portland OR 97227. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Bong, Cliffton T.H. can be contacted via phone (503) 413-4340.

Contact Information

Primary practice address
2800 N Vancouver Ave Ste 230 Portland OR 97227
Fax: (503) 413-4898
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X MD24706 Oregon

Profile Details

NPI number 1609950849
LBN Legal business name Bong, Cliffton T.H.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2006
Last updated Aug 14th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609950849 NPPES
Oregon MEDICAID 227392

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