Individual
KATHERYN T. NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
10535 NE GLISAN ST, PORTLAND, OR 97220-4077
(503) 943-9274
Mailing address
10535 NE GLISAN ST, PORTLAND, OR 97220-4077
(503) 943-9274
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6036
OR
Other
Enumeration date
05/06/2014
Last updated
06/16/2015
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