Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SOOHAN BONG
ActiveSOOHAN BONG is a Physician Assistant healthcare provider located in PORTLAND, Oregon. NPI 1710591821 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · PORTLAND, OR
Registration Details
- NPI Number
- 1710591821
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 4, 2020 (5.9177832426447 yrs)
- Last Updated
- Feb 7, 2023
- License
-
PA207120 (OR)
Practice Information
- Address
-
5050 NE HOYT ST STE 359PORTLAND, OR, 972132983Browse OR providers · Browse ZIP 97213
- Phone
- 5039358501
- Fax
- 5039358506
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| SCOTT PRESTON BEYER | PA-C | 1295737997 |
| LEON QUINTON COLBURN | PA | 1578565339 |
| ROBERT LOUIS COURTOX | PA | 1184626970 |
| JONATHAN REUEL VAN HORN | PAC | 1992798060 |
| JENNY L HUME | PA C | 1851387666 |
| JOHNNY YUN | PA C | 1538155312 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.