Individual
ERIC NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
19255 SW 65TH AVE STE 200, TUALATIN, OR 97062-9712
(503) 828-1150
(503) 828-1160
Mailing address
19255 SW 65TH AVE STE 200, TUALATIN, OR 97062-9712
(503) 828-1150
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA208416
OR
Other
Enumeration date
01/14/2022
Last updated
04/19/2022
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