MEDICARE: DR. CHERI LENG M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	MD.MD.61592672	WA
2	207W00000X	Ophthalmology Physician	A93688	CA
3	207W00000X	Ophthalmology Physician	MD222223	OR

General Provider Information

NPI Number	:	1962473439
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHERI LENG M.D.

Provider Business Mailing Address
First Line	:	1001 RIVERSIDE AVE
Second Line	:	MOTT BUILDING
City	:	ROSEVILLE
State	:	CA
Zip	:	95678-5134
Country	:	US
Telephone Number	:	916-784-4185
Fax Number	:

Provider Business Practice Location Address
First Line	:	19801 SW 72ND AVE
Second Line	:
City	:	TUALATIN
State	:	OR
Zip	:	97062-8351
Country	:	US
Telephone Number	:	360-242-3008
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2006
Last Update Date	:	11/26/2024

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