Individual
ANNA NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
13831 NW CORNELL RD, PORTLAND, OR 97229-5485
(503) 718-3762
Mailing address
13831 NW CORNELL RD, PORTLAND, OR 97229-5485
(503) 718-3762
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10184
OR
Other
Enumeration date
02/02/2015
Last updated
03/28/2017
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