Individual
IVY NGUGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12802 BOONES FERRY RD, LAKE OSWEGO, OR 97035-1130
(857) 753-7536
Mailing address
12802 BOONES FERRY RD, LAKE OSWEGO, OR 97035-1130
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/30/2025
Last updated
12/30/2025
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