Individual
KIM LIEN HOANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7405 SW BARBUR BLVD, #200, PORTLAND, OR 97219
(503) 246-3034
Mailing address
7405 SW BARBUR BLVD, #200, PORTLAND, OR 97219
(503) 246-3034
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6734
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124995
OREGON HEALTH PLAN
OR
01
—
507227
UNITED CONCORDIA
OR
Enumeration date
03/13/2007
Last updated
07/08/2007
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