Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | H5521 | OR |
NPI | 1013161884 |
---|---|
Provider Name | Mrs. Rosie Huyen Hoang |
First Address | Portland, OR 97213-4726 |
Second Address | Portland, OR 97213-4726 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2008 |
Last Update Date | 06/11/2008 |