Individual
MAI NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3710 SOUTHWEST VETERAN HOSP ROAD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
14209 NE 69TH ST, VANCOUVER, WA 98682-5084
(971) 258-8522
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
164W00000X
OR
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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