Individual
MINH NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
520 SW RAMSEY AVE, GRANTS PASS, OR 97527-5535
(541) 472-7810
(541) 472-7811
Mailing address
520 SW RAMSEY AVE, GRANTS PASS, OR 97527-5535
(541) 472-7810
(541) 472-7811
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2015031854
MO
207Q00000X
Family Medicine Physician
2020-01163
NC
207Q00000X
Family Medicine Physician
4489-850
WI
207Q00000X
Family Medicine Physician
Primary
MD206288
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881954469
—
NC
05
—
1881954469
—
WI
01
—
MD206288
OREGON STATE BOARD
OR
01
—
PENDING
RR MEDICARE
MO
Enumeration date
05/17/2012
Last updated
04/26/2022
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