IndividualActive
Aumyot Prongdong, MD
NPI 1881851368 · Nephrology Physician · Portland, OR
Provider details
- NPI number
- 1881851368
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD-20827 (HI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
10201 Se Main St Ste 27
Portland, OR 97216-2937
Phone: (503) 256-0877
Fax: (503) 256-4188
Approximate (ZIP-level) locationGet directions
Mailing address
1130 Nw 22nd Ave Ste 640
Portland, OR 97210-2993
Registry dates
- Enumerated
- 2008-05-21
- Last updated
- 2023-07-12
- Certified
- 2023-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.