Individual
VICKY HOANG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9427 SW BARNES RD STE 390, PORTLAND, OR 97225-6652
(503) 216-2111
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA217371
OR
Other
Enumeration date
04/28/2021
Last updated
01/02/2025
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