Individual
CHARLES SOM NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1202 M.L.K. JR WAY, SUITE 200, TACOMA, WA 98405
(253) 722-1720
Mailing address
125 16TH AVE E, SEATTLE, WA 98112-5211
(206) 326-3000
(206) 326-2785
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP61171058
WA
208D00000X
General Practice Physician
OP61171058
WA
Other
Enumeration date
03/20/2017
Last updated
08/25/2022
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