Individual
MISS HONG DIEM NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9735 SW SHADY LN, #102, TIGARD, OR 97223-5481
(503) 620-5614
(503) 598-4688
Mailing address
9735 SW SHADY LN, #102, TIGARD, OR 97223-5481
(503) 620-5614
(503) 598-4688
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00718
OR
Other
Enumeration date
11/25/2005
Last updated
08/12/2008
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