Individual
DAVID CHOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
17464 SW LAWTON ST, BEAVERTON, OR 97003-7531
(503) 544-9682
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
202005648RN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BZ52059D00
HEALTH SHARE OF OREGON
OR
Enumeration date
09/15/2020
Last updated
09/15/2020
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