Individual
LAN-ANH KHAC NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1321 NE 99TH AVE STE 100, PORTLAND, OR 97220-9437
(503) 215-9900
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD00043698
WA
207Q00000X
Family Medicine Physician
Primary
MD177479
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8397234
—
WA
Enumeration date
11/16/2006
Last updated
02/15/2021
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