Individual
KHANH-UYEN TINA HUU NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1825 MAPLE ST, FOREST GROVE, OR 97116-1939
(503) 359-6180
(503) 359-6105
Mailing address
1825 MAPLE ST, FOREST GROVE, OR 97116-1939
(503) 359-6180
(503) 359-6105
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PA60963344
WA
363AM0700X
Medical Physician Assistant
Primary
PA189616
OR
363AM0700X
Medical Physician Assistant
PA19500
TX
Other
Enumeration date
07/11/2019
Last updated
12/03/2025
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