# RICHARD HSU, DM., PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Shoebox Pediatric Dentistry and Orthodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386985489
- **Authorized official:** RICHARD HSU DMD (OWNER)
- **Authorized official phone:** (503) 614-1177

## Contact information

- **Practice address:** 1789 NW 173RD AVE, BEAVERTON, OR 97006-4817
- **Practice address phone:** (503) 614-1177
- **Practice address fax:** (503) 629-5608
- **Mailing address:** 1789 NW 173RD AVE, BEAVERTON, OR 97006-4817
- **Mailing address phone:** (503) 614-1177
- **Mailing address fax:** (503) 629-5608

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | D7667 | OR | Yes |

## Other

- **Enumeration date:** 03/14/2013
- **Last updated:** 03/14/2013