Heh Shin Racher Kwak, MD | |
18040 Sw Lower Boones Ferry Rd Ste 201, Tigard, OR 97224-7259 | |
(503) 216-0500 | |
(971) 712-2120 |
Full Name | Heh Shin Racher Kwak |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 19 Years |
Location | 18040 Sw Lower Boones Ferry Rd Ste 201, Tigard, Oregon |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174715924 | NPI | - | NPPES |
500607347 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207NI0002X | Dermatology - Clinical & Laboratory Dermatological Immunology | MD29285 (Oregon) | Secondary |
207N00000X | Dermatology | MD29285 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Portland Medical Center | Portland, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Services Oregon | 0648183608 | 1344 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003991845 PECOS PAC ID: 5395656284 Enrollment ID: O20031113000626 |
Mailing Address | Practice Location Address |
---|---|
Heh Shin Racher Kwak, MD Po Box 3158, Portland, OR 97208-3158 Ph: () - | Heh Shin Racher Kwak, MD 18040 Sw Lower Boones Ferry Rd Ste 201, Tigard, OR 97224-7259 Ph: (503) 216-0500 |
Dr. Eric J Hester, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 10215 Sw Hall Blvd, Tigard, OR 97223 Phone: 503-245-2415 | |
Jessica N Mehta, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 18040 Sw Lower Boones Ferry Rd, Suite 100, Tigard, OR 97224 Phone: 503-216-0770 | |
Matthew Charles Mcclelland, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 18040 Sw Lower Boones Ferry Rd, Suite 100, Tigard, OR 97224 Phone: 503-216-0700 | |
Shobha N. Jetmalani, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 18040 Sw Lower Boones Ferry Rd, Suite 100, Tigard, OR 97224 Phone: 503-215-0700 Fax: 503-216-0750 | |
Scott A.b. Collins, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 10215 Sw Hall Blvd, Tigard, OR 97223 Phone: 503-245-2415 | |
Dr. Stephanie J Mengden Koon, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 12254 Sw Garden Pl, Tigard, OR 97223 Phone: 503-906-7300 Fax: 503-245-8219 |