Individual
KENNETH HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7320 SW HUNZIKER RD #203, TIGARD, OR 97223
(503) 753-8079
Mailing address
7320 SW HUNZIKER RD #203, TIGARD, OR 97223
(503) 753-8079
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15430
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5037538079
—
OR
Enumeration date
04/22/2015
Last updated
04/22/2015
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