MEDICARE: HIEU TRUNG NGUYEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	MD61588870	WA
2	390200000X	Student in an Organized Health Care Education/Training Program
3	2084P0800X	Psychiatry Physician	A206241	CA

General Provider Information

NPI Number	:	1891444725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HIEU TRUNG NGUYEN

Provider Business Mailing Address
First Line	:	1959 NE PACIFIC ST # 356560
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98195-6560
Country	:	US
Telephone Number	:	206-543-4292
Fax Number	:	562-491-9146

Provider Business Practice Location Address
First Line	:	1959 NE PACIFIC ST # 356560
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98195-3321
Country	:	US
Telephone Number	:	206-543-4292
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2022
Last Update Date	:	12/09/2025

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Directions to “ HIEU TRUNG NGUYEN ” Practice Location

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