Individual
SCOTT T NGUY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP, CNM
Contact information
Practice address
15640 NW LAIDLAW RD STE 102, PORTLAND, OR 97229-3828
(503) 764-0100
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201602919NP-PP
OR
363LF0000X
Family Nurse Practitioner
209009708
IL
367A00000X
Advanced Practice Midwife
201602919NP-PP
OR
367A00000X
Advanced Practice Midwife
209009702
IL
Other
Enumeration date
08/14/2012
Last updated
10/14/2020
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