Provider Demographics
NPI:1568481281
Name:CHING, CHESTER SUNG (MD)
Entity type:Individual
Prefix:DR
First Name:CHESTER
Middle Name:SUNG
Last Name:CHING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 SW 5TH AVE
Mailing Address - Street 2:STE 900 #88
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97204
Mailing Address - Country:US
Mailing Address - Phone:503-688-0906
Mailing Address - Fax:
Practice Address - Street 1:94-229 WAIPAHU DEPOT ST STE 101
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-3032
Practice Address - Country:US
Practice Address - Phone:808-206-9849
Practice Address - Fax:808-206-9850
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD20815207RN0300X
HIMD-20803207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI004219Medicaid