PHONEVILAY HEUANGSACKDA
NPI 1093114407
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since August 21, 2014
1312 SW WASHINGTON ST, PORTLAND, OR 97205(503) 535-1151 Get Directions Write a Review

NPPES record last updated: August 21, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Phonevilay Heuangsackda NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHONEVILAY HEUANGSACKDA (NPI 1093114407) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1093114407
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NamePHONEVILAY HEUANGSACKDA
Location Address1312 SW WASHINGTON STPortland, OR 97205-2327
Mailing Address1232 Ne 194th CtPortland, OR 97230 · (503) 841-9869
Sole ProprietorNo
Enumeration DateAugust 21, 2014
NPI 1093114407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1312 SW WASHINGTON ST, Portland, OR 97205

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
1312 SW WASHINGTON ST
PORTLAND, OR 97205
Counselor
1312 SW WASHINGTON ST
PORTLAND, OR 97205
Student in an Organized Health Care Education/Training Program
1312 SW WASHINGTON ST
PORTLAND, OR 97205
Substance Abuse Rehabilitation Facility
1312 SW WASHINGTON ST
PORTLAND, OR 97205
Counselor (Addiction (Substance Use Disorder))
1312 SW WASHINGTON ST
PORTLAND, OR 97205
Student in an Organized Health Care Education/Training Program
1312 SW WASHINGTON ST
PORTLAND, OR 97205
Registered Nurse
1312 SW WASHINGTON ST
PORTLAND, OR 97205
Peer Specialist
1312 SW WASHINGTON ST
PORTLAND, OR 97205

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phonevilay Heuangsackda's NPI number?

The NPI number for Phonevilay Heuangsackda is 1093114407. It was assigned to this individual provider in the NPPES registry on August 21, 2014.

Where is Phonevilay Heuangsackda located?

Phonevilay Heuangsackda practices at 1312 SW Washington St, Portland, OR 97205. The listed phone number is (503) 535-1151.

What is Phonevilay Heuangsackda's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Phonevilay Heuangsackda was last updated on August 21, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.