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NPI Code Detail

MEDICARE: THUYLAN N HUYNH MA

MEDICARE:   THUYLAN N HUYNH  MA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1720228182
Entity Type Code : Individual
Provider Name (Legal Business Name) : THUYLAN N HUYNH MA
Provider Business Mailing Address
First Line : 3716 NE MARTIN LUTHER KING JR BLVD
Second Line :
City : PORTLAND
State : OR
Zip : 97212-1111
Country : US
Telephone Number : 503-288-8066
Fax Number : 503-288-8168
Provider Business Practice Location Address
First Line : 3716 NE MARTIN LUTHER KING JR BLVD
Second Line :
City : PORTLAND
State : OR
Zip : 97212-1111
Country : US
Telephone Number : 503-288-8066
Fax Number : 503-288-8168
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2009
Last Update Date : 12/28/2021

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Directions to “ THUYLAN N HUYNH MA” Practice Location

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