Individual
MARK J HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
645 NW 4TH, REDMOND, OR 97756
(541) 923-0119
(541) 923-3228
Mailing address
PO BOX 460, REDMOND, OR 97756
(541) 923-0119
(541) 923-3228
Taxonomy
Speciality
Code
Description
License number
State
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
OS0009532
FL
207Q00000X
Family Medicine Physician
Primary
DO27544
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272958000
—
FL
01
—
28768
BCBS
FL
01
—
309049
HEALTHEASE
—
Enumeration date
08/21/2006
Last updated
08/18/2011
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