An Hoang Phan

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC00902 Issued in OR

Practice address

2850 SE 82ND Ave Unit 8
Portland, OR 97266-1599

Phone

(503) 777-3000

Fax

(503) 777-0002

NPI assigned

Dec 18, 2017

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513555200000",
    "number": "1316453087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 SE 82ND AVE UNIT 8",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972661599",
            "telephone_number": "503-777-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 SE 82ND AVE UNIT 8",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972661599",
            "telephone_number": "503-777-3000",
            "fax_number": "503-777-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "AN",
        "middle_name": "HOANG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-18",
        "last_updated": "2017-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1395",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tuan Pham, MD
• Victor Nguyen Pham, M.D.
• Xuan Phuong Khanh Pham
• Yen Pham
• Alexander Phan, RN
• Andrew Kyanh Phan, D.M.D.
• Brian Gia Son Phan, DMD
• Edward Nguyen Khoi Phan, PHARM.D
• Francis Thanh Phan, M.D.
• Hachau C Phan, AGACNP-BC

• Acupuncturist in Portland, OR
• Providers in Portland, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.