Doctor Name: | DR. DAVID MING FUNG KAO |
NPI Number: | 1417956020 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 23409 |
Business Practice Address: | 6370 Sw Borland Rd Ste 200 Tualatin, OR - 970629752 |
Business Phone Number: | 5036911122 |
Business Fax Number: | 5036911144 |
Mailing Address: | 6370 Sw Borland Rd Ste 200, TUALATIN |
State: | OR |
Postal Code: | 970629752 |
Phone Number: | 5036911122 |
Fax Number: | 5036911144 |
NPI Enumeration Date: | 07/15/2005 |
NPI Last Update Date: | 09/06/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 03/18/2006 |
NPI Reactivation Date: | 03/23/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 23409 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |