Hieu Pham

Dentist · Portland, OR

Individual Active NPI

NPI number 1033593652

Practice location

12596 SE Stark St
Bldg N
Portland, OR 97233-1056
Phone
(503) 528-4758

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NPI record

NPI
1033593652
Entity type
Individual (Type 1)
Enumeration date
July 14, 2015
Last updated
July 14, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X D10274 OR

Mailing address

4305 NE Glisan St
Portland, OR 97213-1641

About Hieu Pham

Hieu Pham is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 12596 SE Stark St, Bldg N, Portland, OR 97233-1056. The NPI number 1033593652 was assigned on July 14, 2015 and the record was last updated on July 14, 2015.

Hieu Pham lists a license in the registry: #D10274 (OR) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Hieu Pham?

The NPI number is 1033593652.

What is the phone number of Hieu Pham?

The phone number listed for the practice location is (503) 528-4758.

Where is Hieu Pham located?

12596 SE Stark St, Bldg N, Portland, OR 97233-1056.

What is the taxonomy code for Hieu Pham?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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