Individual
KHUONG HOTAI NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
215 NE 19TH ST, GRESHAM, OR 97030-2711
(360) 521-4706
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
202009893RN
OR
Other
Enumeration date
01/29/2021
Last updated
01/29/2021
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