Healthcare Provider Details

I. General information

NPI: 1497022883
Provider Name (Legal Business Name): NHUNG VIET NGUYEN N.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/29/2011
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6303 PERRY AVE SE
AUBURN WA
98092-8098
US

IV. Provider business mailing address

6303 PERRY AVE SE
AUBURN WA
98092-8098
US

V. Phone/Fax

Practice location:
  • Phone: 803-397-2005
  • Fax:
Mailing address:
  • Phone: 803-397-2005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA.PA.70166931
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT60256557
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: