Individual
NHAT QUANG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
831 NW COUNCIL DR, SUITE 300, GRESHAM, OR 97030-3721
(503) 381-8100
(503) 382-8120
Mailing address
831 NW COUNCIL DR, SUITE 300, GRESHAM, OR 97030-3721
(503) 382-8100
(503) 382-8120
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD26622
OR
208VP0014X
Interventional Pain Medicine Physician
MD26622
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240517
CAREOREGON
—
05
—
240517
—
OR
01
—
840700001
REGENCE
—
05
—
8460693
—
WA
01
—
O209425
LABOR & IND
WA
01
—
P00310634
RR MEDICARE
—
Enumeration date
06/02/2006
Last updated
11/29/2021
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