Sam Seoho Bae
Oral & Maxillofacial Surgeon and 1 more
6464 Sw Borland Rd Ste D3
Tualatin
, Oregon 97062
Sam Seoho Bae
Oral & Maxillofacial Surgeon and 1 more
6464 Sw Borland Rd Ste D3
Tualatin
, Oregon 97062
(503) 692-5654
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Sam Seoho Bae
- 6464 Sw Borland Rd Ste D3
- Tualatin, OR
- Zip : 97062-8861
- Phone : (503) 692-5654
Second Address
- Sam Seoho Bae
- 6464 Sw Borland Rd Ste D3
- Tualatin, OR
- Zip : 97062
- Phone : (503) 692-5654
Reviews
FAQs
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What type of doctor is Sam Seoho Bae
In what state does Sam Seoho Bae practice in?
Where is Sam Seoho Bae ’s practice located?
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Is Sam Seoho Bae a sole practitioner?
Is Sam Seoho Bae accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 204E00000X | Oral & Maxillofacial Surgeon | 2901020742 | MI |
| N | 204E00000X | Oral & Maxillofacial Surgeon | 33845 | TX |
| N | 204E00000X | Oral & Maxillofacial Surgeon | 4301109828 | MI |
| Y | 204E00000X | Oral & Maxillofacial Surgeon | MD191912 | OR |
| N | 204E00000X | Oral & Maxillofacial Surgeon | R6146 | TX |
National Provider Identifier
| NPI | 1124381629 |
|---|---|
| Provider Name | Sam Seoho Bae |
| First Address | Tualatin, OR 97062-8861 |
| Second Address | Tualatin, OR 97062 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/06/2012 |
| Last Update Date | 29/06/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.