Provider Demographics
NPI:1356743041
Name:ING, VALERIE ROSE (DO)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:ROSE
Last Name:ING
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:ROSE
Other - Last Name:HARNISH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:9280 SE SUNNYBROOK BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:CLACKAMAS
Mailing Address - State:OR
Mailing Address - Zip Code:97015-9353
Mailing Address - Country:US
Mailing Address - Phone:503-233-5548
Mailing Address - Fax:503-230-1009
Practice Address - Street 1:9280 SE SUNNYBROOK BLVD STE 300
Practice Address - Street 2:
Practice Address - City:CLACKAMAS
Practice Address - State:OR
Practice Address - Zip Code:97015-9353
Practice Address - Country:US
Practice Address - Phone:503-233-5548
Practice Address - Fax:503-230-1009
Is Sole Proprietor?:No
Enumeration Date:2014-09-24
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORDO188349207R00000X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine