NPI 1417360587 · live from the CMS NPI Registry
Edward Cheng, M.D,
Internal Medicine, Clinical Cardiac Electrophysiology in Gresham, OR. National Provider Identifier 1417360587, active.
NPI record
| NPI | 1417360587 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Clinical Cardiac Electrophysiology 207RC0001X |
| Practice location | 24900 Se Stark St Ste 109, Gresham, OR 97030 |
| Practice phone | 503-413-7162 |
| Mailing address | Po Box 3777, Portland, OR 97208 |
| Enumerated | June 6, 2014 |
| Last updated | April 26, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | MD61277219 (WA) |
| Internal Medicine | 207R00000X | MD210110 (OR) |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | MD210110 (OR) |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | MD61277219 (WA) |
| Internal Medicine, Clinical Cardiac Electrophysiology | 207RC0001X | MD61277219 (WA) |
| Internal Medicine, Clinical Cardiac Electrophysiology primary | 207RC0001X | MD210110 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.