Healthcare Provider Details

I. General information

NPI: 1447199906
Provider Name (Legal Business Name): JI HOON HWANG LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14300 SW PACIFIC HWY
TIGARD OR
97224-3790
US

IV. Provider business mailing address

14300 SW PACIFIC HWY
TIGARD OR
97224-3790
US

V. Phone/Fax

Practice location:
  • Phone: 425-329-9266
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204E00000X
TaxonomyOral & Maxillofacial Surgery (D.M.D.)
License Number
License Number State

VIII. Authorized Official

Name: DR. JI HOON HWANG
Title or Position: ORAL AND MAXILLOFACIAL SURGEON
Credential: MD, DDS
Phone: 425-329-9266