Healthcare Provider Details

I. General information

NPI: 1427158823
Provider Name (Legal Business Name): HYLA RICHEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1006 NE 2ND AVE HOLLADAY PARK DENTAL BLDG
PORTLAND OR
97232
US

IV. Provider business mailing address

5000 CHESHIRE LANE NORTH
PLYMOUTH MN
55446
US

V. Phone/Fax

Practice location:
  • Phone: 503-236-3368
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number22748
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHAS - P- 1010902
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: