Individual
TRIET ANH NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8122 SE TIBBETTS ST, PORTLAND, OR 97206-1768
(503) 777-5995
(503) 597-7007
Mailing address
8122 SE TIBBETTS ST, PORTLAND, OR 97206-1768
(503) 777-5995
(503) 597-7007
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO214667
OR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PG199287
OR
Other
Enumeration date
04/20/2020
Last updated
04/14/2026
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