DR. HIEU PHAM


Address: 12596 Se Stark St, Bldg N, Portland, OR 97233-1056
Phone: 5035284758

DR. HIEU PHAM (NPI# 1033593652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033593652
Entity Type Individual
Full Name DR. HIEU PHAM
Practice Address 12596 Se Stark St
Bldg N
Portland
OR 97233-1056
Mailing Address 4305 Ne Glisan St
Portland
OR 97213-1641
Practice Telephone 5035284758
Enumeration Date 2015-07-14
Last Update Date 2015-07-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist D10274 OR Dental Providers

Other Providers HIEU PHAM

NPI Name Taxonomy Address Enumeration
1649775925 Hieu Pham Student in an Organized Health Care Education/Training Program 4301 West Markham St., Slot 602, Attn: Austin, Little Rock, AR 72205 2018-03-28
1245597731 Hieu D Pham Pharmacist 105 Carden Pl Apt G, Mebane, NC 27302-6039 2012-04-20
1003142472 Hieu Doan Pham Counselor 4000 W Metropolitan Dr Ste 405, Orange, CA 92868-3504 2009-10-20
1225067721 Hieu T. Pham Anesthesiology 5010 Crenshaw Rd, Ste. #130, Pasadena, TX 77505-3047 2006-06-30
1700318839 Hieu Pham Family Medicine 550 16th Ave Ste 100, Seattle, WA 98122-5636 2017-03-29
1013458942 Hieu Pham Dentist 825 E Rundberg Ln Ste A1, Austin, TX 78753-4809 2017-03-10
1396170395 Hieu T Pham Pharmacist 710 Lawrence Expy, Santa Clara, CA 95051-5173 2013-09-09
1114215647 Hieu Pham Pharmacist 4142 Pontchartrain Dr, Slidell, LA 70458-5138 2011-07-19
1972560043 Hieu D Pham Oral & Maxillofacial Surgery 707 Parnassus Ave, San Francisco, CA 94143-2210 2006-05-01
1356323281 Hieu Hong Pham Anesthesiology 1265 Union Ave, Memphis, TN 38104-3415 2005-11-16

Office Location

Street Address 12596 SE STARK ST
BLDG N
City PORTLAND
State OR
Zip Code 97233-1056

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629279674 Emergency Tooth Doctor East, PC Dentist 12596 Se Stark St, Plaza 125 Bldg N, Portland, OR 97233-1056 2007-05-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205448164 Moore Therapy Services, LLC Behavioral Analyst 2053 Se 181st Ave, Portland, OR 97233 2020-08-20
1427563733 Central City Concern Inc Clinic/Center 1415 Se 122nd Ave, Portland, OR 97233 2017-12-08
1427573443 Sunshine Ahc In Home Supportive Care 2217 Se 156th Ave, Portland, OR 97233 2017-08-10
1538609433 Nathaniel Davis Jr. Counselor 8915 Se Center St, Tigard, OR 97233 2017-02-27
1154878627 Oregon Outreach Inc Case Management 1740 South East 139th Avenue, Portland, OR 97233 2016-09-01
1023461019 Julianne Baltzley Counselor 2409 Se 149th Avenue, Portland, OR 97233 2016-07-14
1710332143 Emma Slater Counselor 12360 Se Burnside, Portland, OR 97233 2016-05-04
1245621952 Gregory Brett Bledsoe Counselor 1427 Se 182nd Ave., Portland, OR 97233 2015-02-17
1396149852 Jacqueline Bension Counselor 1705 Se 122nd Ave, Portland, OR 97233 2014-10-13
1700206950 Olga I Zlatova I Dental Hygienist 325 Se 154th Ave, Portland, OR 97233 2014-04-25
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598366064 Felipe Gregorio Flores Dentist 107 Shorecliff Dr, Portland, TX 78374-1459 2020-11-02
1972117588 Medical Teams International Dentist 14150 Sw Milton Ct, Portland, OR 97224-8024 2020-09-01
1255975561 Michigan Sleep Solutions LLC Dentist 8037 Abbey Rd., Portland, MI 48875-9774 2019-10-30
1073162699 Ryan Douglas Mccormick Dentist 3620 Se Powell Blvd Ste 200, Portland, OR 97202-1880 2019-09-06
1255989497 Owen Ritter Lund Dentist 4224 Ne Halsey St Ste 330, Portland, OR 97213-1568 2019-08-30
1023663119 Xiaochen Zhou Dentist 2824 Ne Wasco St Ste 200, Portland, OR 97232-1772 2019-08-06
1598223919 Portland Modern Dentistry Dentist 5175 Ne Martin Luther King Blvd Ste 110, Portland, OR 97211-3233 2019-03-05
1922571942 Rashmi, LLC Dentist 553 Portland Cobalt Rd Unit 1, Portland, CT 06480-1968 2019-01-03
1053891051 Waleed Almulla Dentist 8401 Ne Halsey St Ste 102, Portland, OR 97220-5670 2018-08-19
1558848333 Kelsey Mcevoy Dentist 11805 Nw Cedar Falls Dr Ste 101, Portland, OR 97229-2780 2018-07-24
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Competitor

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City PORTLAND
Zip Code 97233

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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