Individual
LINH HAI NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
12230 SW 128TH AVE, TIGARD, OR 97223-1865
(971) 322-3496
Mailing address
12230 SW 128TH AVE, TIGARD, OR 97223-1865
(971) 322-3496
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA190585
OR
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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