Provider Demographics
NPI:1710305214
Name:CHENG, GUIFEN (LAC)
Entity type:Individual
Prefix:
First Name:GUIFEN
Middle Name:
Last Name:CHENG
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:JENNY
Other - Middle Name:
Other - Last Name:CHENG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LAC
Mailing Address - Street 1:7171 SW SAGERT ST UNIT 104
Mailing Address - Street 2:
Mailing Address - City:TUALATIN
Mailing Address - State:OR
Mailing Address - Zip Code:97062-8274
Mailing Address - Country:US
Mailing Address - Phone:541-650-7422
Mailing Address - Fax:
Practice Address - Street 1:10822 SE 82ND AVE STE B
Practice Address - Street 2:
Practice Address - City:HAPPY VALLEY
Practice Address - State:OR
Practice Address - Zip Code:97086-7658
Practice Address - Country:US
Practice Address - Phone:503-308-8484
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-01
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR219577171100000X, 171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist