Healthcare Provider Details

I. General information

NPI: 1578066502
Provider Name (Legal Business Name): BRITNEY HYUN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2018
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 MISSION ST SE
SALEM OR
97302-6217
US

IV. Provider business mailing address

801 MISSION ST SE
SALEM OR
97302-6217
US

V. Phone/Fax

Practice location:
  • Phone: 503-588-3945
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036.165139
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: