JONATHAN WONG D.C. NPI 1477794436

NPI Information

NPI: 1477794436
Provider Name: JONATHAN WONG, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
19767 SW 72ND AVE
STE 103
TUALATIN, OR
ZIP 97062
Phone: (503) 620-6480
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Jonathan Wong, D.C. is a chiropractor in Tualatin, OR. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. Jonathan Wong, D.C. NPI is 1477794436. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

19767 SW 72ND AVE
STE 103
TUALATIN, OR
ZIP 97062-354
Phone: (503) 620-6480

The enumeration date for this NPI number is 3/20/2009 and was last updated on 9/11/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111NI0900X	Chiropractor	Internist	3811	OREGON	No
2	111NS0005X	Chiropractor	Sports Physician	3811	OREGON	No
3	111NX0100X	Chiropractor	Occupational Health	3811	OREGON	No
4	111N00000X	Chiropractor		3811	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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