Healthcare Provider Details

I. General information

NPI: 1669105367
Provider Name (Legal Business Name): ANTHONY C NGUYEN MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2022
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1849 NE 106TH AVE STE 201
HILLSBORO OR
97006-6465
US

IV. Provider business mailing address

1849 NE 106TH AVE STE 201
HILLSBORO OR
97006-6465
US

V. Phone/Fax

Practice location:
  • Phone: 503-406-9859
  • Fax: 503-300-4691
Mailing address:
  • Phone: 503-406-9859
  • Fax: 503-300-4691

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ANTHONY CAO HUNG NGUYEN
Title or Position: OWNER
Credential: MD
Phone: 503-406-9859