Individual
JIMMY NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
747 BROADWAY, SEATTLE, WA 98122-4379
(206) 215-2520
(206) 386-3180
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD61585227
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2213723
—
WA
Enumeration date
08/16/2020
Last updated
02/24/2026
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