Kwak, Heh Shin Racher
Kwak, Heh Shin Racher is an individual health care provider with primary practice located at 18040 Sw Lower Boones Ferry Rd Ste 201 , Tigard OR 97224-7259. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Kwak, Heh Shin Racher can be contacted via phone (503) 216-0500.Contact Information
Primary practice address
18040 Sw Lower Boones Ferry Rd Ste 201
Tigard OR 97224-7259
Phone: (503) 216-0500
Fax: (971) 712-2120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology | 207NI0002X | MD29285 | Oregon |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD29285 | Oregon |
Profile Details
| NPI number | 1174715924 |
|---|---|
| LBN Legal business name | Kwak, Heh Shin Racher |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2007 |
| Last updated | Dec 14th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174715924 | NPPES |
| Oregon | MEDICAID | 500607347 |
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