Lee, Ken Kyung-Hoon

Lee, Ken Kyung-Hoon is an individual health care provider with primary practice located at 1414 Nw Northrup St Ste 600 , Portland OR 97209. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Lee, Ken Kyung-Hoon can be contacted via phone (503) 223-3104.

Contact Information

Primary practice address
1414 Nw Northrup St Ste 600 Portland OR 97209
Phone: (503) 223-3104
Fax: (503) 223-4619
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD19438 Oregon
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X MD19438 Oregon

Profile Details

NPI number 1407864937
LBN Legal business name Lee, Ken Kyung-Hoon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Jun 6th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407864937 NPPES
Oregon MEDICAID 151115

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