SOO HAN BONG (NPI# 1710591821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710591821 |
Entity Type | Individual |
Full Name | SOO HAN BONG |
Practice Address |
222 Se 8th Ave Hillsboro OR 97123-4218 |
Mailing Address |
718 20th Ave Honolulu HI 96816-4564 |
Practice Telephone | 5033523628 |
Practice Fax Number | 5033527280 |
Mailing Telephone | 8082531458 |
Enumeration Date | 2020-09-04 |
Last Update Date | 2020-09-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | OR | Student, Health Care |
Street Address |
222 SE 8TH AVE |
City | HILLSBORO |
State | OR |
Zip Code | 97123-4218 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225029309 | Noreen Marie Marsland | Counselor | 222 Se 8th Ave, Suite 212, Hillsboro, OR 97123-4218 | 2005-10-28 |
1083211734 | Jake Brandt | Student in an Organized Health Care Education/Training Program | 222 Se 8th Ave, Hillsboro, OR 97123-4218 | 2020-10-06 |
1447865720 | Margaret Ellen Stojak | Specialist/Technologist | 222 Se 8th Ave, Hillsboro, OR 97123-4218 | 2020-09-13 |
1093320699 | Alexander Hilger | Student in an Organized Health Care Education/Training Program | 222 Se 8th Ave, Hillsboro, OR 97123-4218 | 2020-09-10 |
1730798901 | Anthony H. J Becher Iv | Physician Assistant | 222 Se 8th Ave, Hillsboro, OR 97123-4218 | 2020-07-23 |
1699392373 | Madison Norman | Counselor | 222 Se 8th Ave, Hillsboro, OR 97123-4218 | 2020-06-29 |
1447874201 | Anna Sweeney | Student in an Organized Health Care Education/Training Program | 222 Se 8th Ave, Hillsboro, OR 97123-4218 | 2020-06-07 |
1063036978 | Amber Michelle Franco | Student in an Organized Health Care Education/Training Program | 222 Se 8th Ave, Hillsboro, OR 97123-4218 | 2020-06-05 |
1346864881 | Danielle N Brown | Student in an Organized Health Care Education/Training Program | 222 Se 8th Ave, Hillsboro, OR 97123-4218 | 2020-06-01 |
1205450863 | Ye Jin Park | Student in an Organized Health Care Education/Training Program | 222 Se 8th Ave, Hillsboro, OR 97123-4218 | 2020-05-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851916241 | Gabriel Lawrence | Physical Therapist | 2973 Se 79th Ave., Hillsboro, OR 97123 | 2020-06-11 |
1487278453 | Jordan Gregory Evans | Student in an Organized Health Care Education/Training Program | Creighton Hall 222 Se 8th Ave, Hillsboro, OR 97123 | 2020-06-04 |
1124641006 | Jessica Anne Bramlett | Student in an Organized Health Care Education/Training Program | 228 Southeast 8th Avenue, Suite 536, Hillsboro, OR 97123 | 2020-05-26 |
1003448168 | Madelyn Vogt | Community Health Worker | 862 Se Oak Street, Suite 2a, Hillsboro, OR 97123 | 2020-02-06 |
1215435789 | Renise Harrel | Massage Therapist | 4855 Se Tv Hwy, Suite B, Hillsboro, OR 97123 | 2018-01-30 |
1497260269 | Amy Hodges | Counselor | 222 Se 8th Ave # 212, Hillsboro, OR 97123 | 2017-12-02 |
1033623723 | Tamira L Heyob | Doula | 25600 Sw Bald Peak Rd., Hillsboro, OR 97123 | 2017-11-17 |
1134644024 | Tara Kyoko Taylor | Massage Therapist | 5289 Ne Elam Young Pkwy #130, Hillsboro, OR 97123 | 2017-08-11 |
1023543055 | Austin Simpson | Counselor | 222 Se 8th, Suite 222, Hillsboro, OR 97123 | 2017-04-27 |
1124569769 | Emergency Tooth Doctor Hillsboro, Prof. Corp. | Dentist | 752 Se Oak St, Hillsboro, OR 97123 | 2017-03-15 |
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Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487278453 | Jordan Gregory Evans | Student in an Organized Health Care Education/Training Program | Creighton Hall 222 Se 8th Ave, Hillsboro, OR 97123 | 2020-06-04 |
1124641006 | Jessica Anne Bramlett | Student in an Organized Health Care Education/Training Program | 228 Southeast 8th Avenue, Suite 536, Hillsboro, OR 97123 | 2020-05-26 |
1245853373 | Kadin Gabriel Wiley | Student in an Organized Health Care Education/Training Program | 4296 Se Oak St, Hillsboro, OR 97123-5905 | 2020-05-22 |
1336762467 | Casey Omori | Student in an Organized Health Care Education/Training Program | 222 Se 8th Ave Ste 536, Hillsboro, OR 97123-4218 | 2020-05-22 |
1578185005 | Shaina Hai Chan | Student in an Organized Health Care Education/Training Program | 2669 Ne Overlook Dr Apt 1333, Hillsboro, OR 97124-7662 | 2020-05-06 |
1386271443 | James Dowgin | Student in an Organized Health Care Education/Training Program | 1975 Ne 50th Way, Hillsboro, OR 97124-6003 | 2020-03-26 |
1356995286 | Aiyana Turpen-scott | Student in an Organized Health Care Education/Training Program | 222 Se 8th Ave Ste 551, Hillsboro, OR 97123-4218 | 2019-07-29 |
1568938371 | Brian Miller | Student in an Organized Health Care Education/Training Program | 840 Water Ave, Hillsboro, WI 54634-6213 | 2018-10-18 |
1366948168 | Tiffany Anne Tibbs | Student in an Organized Health Care Education/Training Program | 4220 Mills Ln, Hillsboro, OH 45133-8774 | 2018-04-02 |
1811427057 | Connor Michael Hambelton | Student in an Organized Health Care Education/Training Program | 5373 E Main St, Hillsboro, OR 97123-6447 | 2017-06-19 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.