Bae, Sam Seoho

Bae, Sam Seoho is an sole proprietor health care provider with primary practice located at 6464 Sw Borland Rd Ste D3 , Tualatin OR 97062. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Bae, Sam Seoho can be contacted via phone (503) 692-5654.

Contact Information

Primary practice address
6464 Sw Borland Rd Ste D3 Tualatin OR 97062
Phone: (503) 692-5654
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 33845 Texas
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 2901020742 Michigan
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X R6146 Texas
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 4301109828 Michigan
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X MD191912 Oregon

Profile Details

NPI number 1124381629
LBN Legal business name Bae, Sam Seoho
Credentials M.D., D.D.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2012
Last updated Jun 29th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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