SAM SEOHO BAE M.D., D.D.S.
Individual Provider (NPI-1)
Active
Oral & Maxillofacial Surgery
Provider Information
- NPI Number
1124381629- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D., D.D.S.
- Status
- Active
Contact & Location
- Address
- 6464 SW BORLAND RD STE D3, TUALATIN, OR, 97062
- Phone
- (503) 692-5654
Specialties & Taxonomies
Oral & Maxillofacial Surgery
License: TX #33845
Oral & Maxillofacial Surgery
License: MI #2901020742
Oral & Maxillofacial Surgery
License: TX #R6146
Oral & Maxillofacial Surgery
License: MI #4301109828
Oral & Maxillofacial Surgery
Primary License: OR #MD191912