Cheng, Allen C
Cheng, Allen C is an sole proprietor health care provider with primary practice located at 1849 Nw Kearney St Suite 300, Portland OR 97209. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Cheng, Allen C can be contacted via phone (503) 224-1371.Contact Information
Primary practice address
1849 Nw Kearney St Suite 300
Portland OR 97209
Phone: (503) 224-1371
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | D10084 | Oregon |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | MD157371 | Oregon |
Profile Details
NPI number | 1043537707 |
---|---|
LBN Legal business name | Cheng, Allen C |
Credentials | MD, DDS |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 21st, 2010 |
Last updated | Oct 2nd, 2020 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1043537707 | NPPES |
Oregon | MEDICAID | 500671078 |
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