Heh Shin Racher Kwak in Tigard - Clinical & Laboratory Dermatological Immunology

Heh Shin Racher Kwak - NPI 1174715924

Heh Shin Racher Kwak is a Clinical & Laboratory Dermatological Immunology in Tigard, Oregon. Heh Shin Racher Kwak practices all healthcare services and medical treatments related to Clinical & Laboratory Dermatological Immunology. The NPI Number for Heh Shin Racher Kwak is 1174715924. The last update date is 2021-12-14.

Heh Shin Racher Kwak's current location address is 18040 Sw Lower Boones Ferry Rd Ste 201, Tigard, Oregon. You can contact this provider via phone number 5032160500 and fax number 9717122120. The mailing address for Heh Shin Racher Kwak is 18040 Sw Lower Boones Ferry Rd Ste 201, Tigard, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Heh Shin Racher Kwak
Address 18040 Sw Lower Boones Ferry Rd Ste 201, Tigard, Oregon
Phone Number 5032160500
Fax Number 9717122120
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1174715924
Provider Enumeration Date 2007-08-15
Last Updated Date 2021-12-14

Provider Mailing Address Detail

Address 18040 Sw Lower Boones Ferry Rd Ste 201
City Tigard
State Oregon (OR)
Post Code 972247259
Phone Number 5032160500
Fax Number 9717122120

Provider's Primary Taxonomy Detail

Speciality Clinical & Laboratory Dermatological Immunology
Taxonomy 207Ni0002X
Licence No MD29285
Definition:
A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
500607347 OR --

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FAQs about Heh Shin Racher Kwak

What is the unique 10-digit identification code issued to Heh Shin Racher Kwak by the Centers for Medicare & Medicaid Services?

The Heh Shin Racher Kwak has been assigned the NPI (National Provider Identifier) 1174715924 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the Heh Shin Racher Kwak located?

The Heh Shin Racher Kwak is located at 18040 Sw Lower Boones Ferry Rd Ste 201, Tigard, OR 972247259.

What is Heh Shin Racher Kwak's area of expertise and its corresponding taxonomy classification?

The Heh Shin Racher Kwak's field of specialization is Clinical & Laboratory Dermatological Immunology, and it falls under the taxonomy code 207Ni0002X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services assign the 1174715924 to Heh Shin Racher Kwak?

The Centers for Medicare & Medicaid Services assigned the 1174715924 to Heh Shin Racher Kwak on 2007-08-15.

As of what date were the details related to Heh Shin Racher Kwak most recently updated or revised?

The information pertaining to Heh Shin Racher Kwak, including its address, specialty, and other relevant details, was last updated or revised on 2021-12-14.

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