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:
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Health care specialties

SpecialtyCodeLicense #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 5 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 1174715924 NPPES
Oregon MEDICAID 500607347

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