Individual
AN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4500 SE COLUMBIA PALISADES DRIVE, CAMAS, WA 98607
(360) 882-2778
(360) 604-1772
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-4896
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16877
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2162282
—
WA
Enumeration date
03/23/2017
Last updated
08/24/2020
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