Individual
KIM THIEN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1175 MOUNT HOOD AVE, WOODBURN, OR 97071-9060
(503) 982-0635
(503) 982-3429
Mailing address
1175 MOUNT HOOD AVE, WOODBURN, OR 97071-9060
(503) 982-0635
(503) 982-3429
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
201142010RN
OR
163WL0100X
Lactation Consultant (Registered Nurse)
L-152935
OR
Other
Enumeration date
04/11/2016
Last updated
06/20/2019
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