Fung, Caroline May-San

Fung, Caroline May-San is an individual health care provider with primary practice located at 9555 Sw Barnes Rd Ste 150, Portland OR 97225-6663. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Fung, Caroline May-San can be contacted via phone (503) 297-7403.

Contact Information

Primary practice address
9555 Sw Barnes Rd Ste 150 Portland OR 97225-6663
Phone: (503) 297-7403
Fax: (503) 384-9908
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA00763 Oregon

Profile Details

NPI number 1558364489
LBN Legal business name Fung, Caroline May-San
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Feb 19th, 2013 - about 11 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 1558364489 NPPES
Oregon MEDICAID 500604574
Oregon MEDICAID 1013208

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