Mengden Koon, Stephanie J

Mengden Koon, Stephanie J is an individual health care provider with primary practice located at 12254 Sw Garden Pl , Tigard OR 97223-8246. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatopathology is her primary health care specialty. Mengden Koon, Stephanie J can be contacted via phone (503) 906-7300.

Contact Information

Primary practice address
12254 Sw Garden Pl Tigard OR 97223-8246
Phone: (503) 906-7300
Fax: (503) 245-8219
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X MD28731 Oregon
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD28731 Oregon

Profile Details

NPI number 1780667527
LBN Legal business name Mengden Koon, Stephanie J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2005
Last updated Nov 2nd, 2010 - about 15 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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