Individual
MRS. KENDRA ELISE NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 DIVISION ST, SUITE 280, OREGON CITY, OR 97045-1527
(503) 905-3400
(503) 905-3399
Mailing address
4938 SW 1ST AVE, PORTLAND, OR 97239-2883
(503) 730-5556
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD150844
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070222
—
OR
05
—
500621605
—
OR
Enumeration date
10/15/2009
Last updated
02/04/2022
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