Individual
DR. HAILEY Q NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
10535 NE GLISAN ST, SUITE 301, PORTLAND, OR 97220-4077
(503) 444-2824
Mailing address
6146 NE BEECH ST, PORTLAND, OR 97213-3226
(971) 270-6686
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10346
OR
Other
Enumeration date
08/20/2015
Last updated
08/20/2015
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