Individual
DR. NINA NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3908 CREEKSIDE LOOP STE 125, YAKIMA, WA 98902-4858
(509) 240-9660
(218) 217-4231
Mailing address
3908 CREEKSIDE LOOP STE 125, YAKIMA, WA 98902-4858
(509) 240-9660
(218) 217-4231
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP61171964
WA
390200000X
Student in an Organized Health Care Education/Training Program
BP10064993
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OP61171964
WA STATE MEDICAL BOARD
WA
Enumeration date
04/27/2018
Last updated
08/10/2022
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