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Individual

SANDRA S HWANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
24988 SE STARK ST STE 220, GRESHAM, OR 97030-8324
(503) 674-1580
(503) 674-1581
Mailing address
1650 NW NAITO PKWY, STE 185, PORTLAND, OR 97209-2535
(971) 983-5260
(971) 983-5326

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA191291
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA191291
STATE LICENSE
OR
Enumeration date
12/08/2018
Last updated
01/07/2020
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