Individual
KHOA NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-1775
(503) 494-4749
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-1775
(503) 494-4749
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A153949
CA
207R00000X
Internal Medicine Physician
MD202566
OR
207RC0000X
Cardiovascular Disease Physician
MD202566
OR
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD202566
OR
Other
Enumeration date
04/04/2016
Last updated
08/21/2024
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