Individual
CHARLES D HYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
690 N MAIN ST, MOUNT ANGEL, OR 97362-9518
(503) 845-2000
(503) 845-2384
Mailing address
690 N MAIN ST, MOUNT ANGEL, OR 97362-9518
(503) 845-2000
(503) 845-2384
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP576A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010139847
BS CMMC
ID
01
—
000010139848
BS PLMC
ID
01
—
000010149870
BS MVMC
ID
05
—
806538800
—
ID
01
—
NPGN2
BC PLMC
ID
01
—
NPGO0
BC CMMC
ID
01
—
NPRN0
BC MVMC
ID
Enumeration date
02/09/2007
Last updated
07/06/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us