Individual
MS. MARIA NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
19075 NW TANASBOURNE DR, SUITE 200, HILLSBORO, OR 97124-5860
(503) 684-8252
(718) 226-1039
Mailing address
PO BOX 5188, PORTLAND, OR 97208-5188
(888) 227-3312
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA 156420
OR
363A00000X
Physician Assistant
Primary
PA61118921
WA
363AM0700X
Medical Physician Assistant
010077
NY
Other
Enumeration date
12/14/2005
Last updated
06/01/2021
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