Individual
VIDANG P NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9427 SW BARNES RD STE 495, PORTLAND, OR 97225-6612
(503) 216-1661
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ML60358733
WA
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
MD198527
OR
207RC0000X
Cardiovascular Disease Physician
MD198527
OR
Other
Enumeration date
03/19/2013
Last updated
03/19/2024
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