Healthcare Provider Details

I. General information

NPI: 1952501678
Provider Name (Legal Business Name): NGOCTHUY THI HUGHES DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NGOCTHUY THI NGUYEN

II. Dates (important events)

Enumeration Date: 07/20/2007
Last Update Date: 10/17/2025
Certification Date: 10/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1315 NW 4TH ST STE A
REDMOND OR
97756-1328
US

IV. Provider business mailing address

PO BOX 5579
BEND OR
97708-5579
US

V. Phone/Fax

Practice location:
  • Phone: 541-548-7761
  • Fax: 651-526-6554
Mailing address:
  • Phone: 541-548-7761
  • Fax: 651-526-6554

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberDO27545
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number010423
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberDO27545
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: