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Soohan Bong
Physician Assistant in Portland, Oregon
NPI 1710591821

Soohan Bong is a Physician Assistant based in Portland, OR. Soohan Bong practices in Portland, OR. The NPI Number for Soohan Bong is 1710591821 and holds a License No. (Oregon).

The current practice location address for Soohan Bong is 5050 Ne Hoyt St Ste 359, Portland, OR and can be reached out via phone at 503-935-8501 and via fax at 503-935-8506.

Location: 5050 Ne Hoyt St Ste 359, Portland, OR, 97232-2686
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Provider Profile Details
NPI Number
1710591821
Provider Name
Soohan Bong
Credential
Provider Entity Type
Individual
Gender
Male
Address
5050 Ne Hoyt St Ste 359, Portland, OR, 97232-2686
Phone Number
503-935-8501
Fax Number
503-935-8506
Provider Enumeration Date
09/04/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500813996 05 OR
institution
Provider Business Practice Location Address Details
Address
5050 Ne Hoyt St Ste 359
City
State
Zip
97213-2983
Phone Number
503-935-8501
Fax Number
503-935-8506
person
Provider Business Mailing Address Details
Address
5050 Ne Hoyt St Ste 359
City
State
Zip
97213-2983
Phone Number
503-935-8501
Fax Number
503-935-8506
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
License No.
PA207120 (Oregon)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
(Oregon)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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