Provider Demographics
NPI:1174066864
Name:HE, JUNFENG (PHD)
Entity type:Individual
Prefix:DR
First Name:JUNFENG
Middle Name:
Last Name:HE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2292 NW KINGS BLVD
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97330-3923
Mailing Address - Country:US
Mailing Address - Phone:541-224-1773
Mailing Address - Fax:541-213-2718
Practice Address - Street 1:2292 NW KINGS BLVD
Practice Address - Street 2:
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97330-3923
Practice Address - Country:US
Practice Address - Phone:541-224-1773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-29
Last Update Date:2024-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist