Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | MD190128 | OR |
N | 207YP0228X | Pediatric Otolaryngology | 063471 | GA |
Y | 207YP0228X | Pediatric Otolaryngology | MD190128 | OR |
N | 207YP0228X | Pediatric Otolaryngology | ME80577 | FL |
N | 207YP0228X | Pediatric Otolaryngology | Q9166 | TX |
NPI | 1720053598 |
---|---|
Provider Name | Charles Anthony Hughes |
First Address | Portland, OR 97208-3158 |
Second Address | Portland, OR 97225-6652 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2006 |
Last Update Date | 29/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00122388 | (05) | MS |
009932210 | (05) | AL |
133184076A | (05) | GA |
259277100 | (05) | FL |
F42886 | (02) |