Provider Demographics
NPI:1922681105
Name:NG, JOSEPH KAR-CHUN
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:KAR-CHUN
Last Name:NG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11775 SW RIDGECREST DR
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97008-6314
Mailing Address - Country:US
Mailing Address - Phone:971-864-7468
Mailing Address - Fax:
Practice Address - Street 1:11775 SW RIDGECREST DR
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97008-6314
Practice Address - Country:US
Practice Address - Phone:971-864-7468
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-04
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program