Individual
MICHELLE NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
2021 NE ALBERTA ST, PORTLAND, OR 97211-5847
(503) 384-2489
Mailing address
2021 NE ALBERTA ST, PORTLAND, OR 97211-5847
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ATI4835
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/21/2026
Last updated
06/26/2026
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