Healthcare Provider Details

I. General information

NPI: 1417515875
Provider Name (Legal Business Name): CHRISTINE SHYH WANG BEST MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINE WANG MD

II. Dates (important events)

Enumeration Date: 05/31/2019
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9155 SW BARNES RD STE 238
PORTLAND OR
97225-6629
US

IV. Provider business mailing address

9155 SW BARNES RD STE 238
PORTLAND OR
97225-6629
US

V. Phone/Fax

Practice location:
  • Phone: 503-216-6407
  • Fax:
Mailing address:
  • Phone: 503-216-6407
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License NumberV6870
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License NumberMD229747
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: