Shin, Rebecca Hea-Sun

Shin, Rebecca Hea-Sun is an individual health care provider with primary practice located at 730 Se Oak St Suite A, Hillsboro OR 97123-4245. She recently has only one registered license in Dental Providers / Dental Public Health, which is considered as her primary health care specialty. Shin, Rebecca Hea-Sun can be contacted via phone (503) 352-2354.

Contact Information

Primary practice address
730 Se Oak St Suite A Hillsboro OR 97123-4245
Fax: (503) 352-2363
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X D9031 Oregon

Profile Details

NPI number 1194914515
LBN Legal business name Shin, Rebecca Hea-Sun
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2007
Last updated Oct 22nd, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194914515 NPPES
Oregon MEDICAID 023197

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