Healthcare Provider Details

I. General information

NPI: 1730422015
Provider Name (Legal Business Name): ANNIE KWOK HUNG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2013
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 NE 87TH AVE STE 350
VANCOUVER WA
98664-1965
US

IV. Provider business mailing address

24988 SE STARK ST STE 140
GRESHAM OR
97030-8326
US

V. Phone/Fax

Practice location:
  • Phone: 360-514-2550
  • Fax: 360-514-1927
Mailing address:
  • Phone: 971-262-9500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMD193278
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number70006621
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: