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Individual

DR. HOANG Q NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3202 SE 82ND AVE, PORTLAND, OR 97266-2004
(503) 777-5995
(503) 777-8005
Mailing address
3202 SE 82ND AVE, PORTLAND, OR 97266-2004
(503) 777-5995
(503) 777-8005

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD25723
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0207265
WA LABOR & INDUSTRIES
WA
05
272028
OR
05
278172
OR
05
8449670
WA
01
P00360355
RAILROAD MEDICARE
WA
Enumeration date
04/03/2006
Last updated
10/09/2009
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