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Individual

IN HWAN CHO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHN

Contact information

Practice address
12425 NE GLISAN ST STE B, PORTLAND, OR 97230-2144
(503) 988-0577
Mailing address
3653 SE 34TH AVE STE 110, PORTLAND, OR 97202-3034
(503) 988-7089

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
114477
OHA
OR
Enumeration date
03/02/2026
Last updated
03/02/2026
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