Individual
KHOI T NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9205 SW BARNES RD STE MT2800, PORTLAND, OR 97225
(503) 216-2621
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 717-7147
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OP61166338
WA
390200000X
Student in an Organized Health Care Education/Training Program
PG188435
OR
Other
Enumeration date
05/17/2018
Last updated
03/24/2023
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