Individual
DUC HOAI NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10200 SW EASTRIDGE ST, SUITE 205, PORTLAND, OR 97225-5064
(503) 280-4555
(503) 280-4559
Mailing address
10200 SW EASTRIDGE ST, SUITE 205, PORTLAND, OR 97225-5064
(503) 280-4555
(503) 280-4559
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D024751
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022655
—
OR
Enumeration date
07/06/2006
Last updated
10/13/2014
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