Individual
GABRIELLE NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4531 SE BELMONT ST STE 100, PORTLAND, OR 97215-1675
(503) 215-6556
Mailing address
4531 SE BELMONT ST STE 100, PORTLAND, OR 97215-1675
(503) 215-6556
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201041796
OR
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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