Individual
LOAN NGUYEN WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1880 LANCASTER DR NE STE 104, SALEM, OR 97305-1040
(971) 273-0679
(503) 961-0794
Mailing address
1880 LANCASTER DR NE STE 104, SALEM, OR 97305-1040
(971) 273-0679
(503) 961-0794
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2025060302
OR
Other
Enumeration date
09/13/2025
Last updated
09/13/2025
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