Healthcare Provider Details

I. General information

NPI: 1922843291
Provider Name (Legal Business Name): NGHI TRUONG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2024
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

705 SE BASELINE ST
HILLSBORO OR
97123-4244
US

IV. Provider business mailing address

190 N NEW LIFE WAY
ANAHEIM CA
92801-7328
US

V. Phone/Fax

Practice location:
  • Phone: 503-357-6151
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA67937
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: