Healthcare Provider Details

I. General information

NPI: 1003491473
Provider Name (Legal Business Name): DANAN HUYNH OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2021
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 INTERNATIONAL WAY # B104
SPRINGFIELD OR
97477-6013
US

IV. Provider business mailing address

3215 AGATE ST
EUGENE OR
97405-4383
US

V. Phone/Fax

Practice location:
  • Phone: 458-544-0400
  • Fax:
Mailing address:
  • Phone: 408-476-9682
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number1073228
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number8252
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: