Healthcare Provider Details

I. General information

NPI: 1881695591
Provider Name (Legal Business Name): KRISTI T HUYNH DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2005
Last Update Date: 03/24/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16015 SW TUALATIN SHERWOOD RD SUITE #160
SHERWOOD OR
97140-8456
US

IV. Provider business mailing address

16015 SW TUALATIN SHERWOOD RD SUITE #160
SHERWOOD OR
97140-8456
US

V. Phone/Fax

Practice location:
  • Phone: 503-925-1473
  • Fax: 503-925-1479
Mailing address:
  • Phone: 503-925-1473
  • Fax: 503-925-1479

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberD7541
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: