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General NPI Number Information
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NPI Number | 1225293285
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Entity Type | Individual
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Provider Name | EMILY C NGUYEN MD
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Gender | Female
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Dates
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Enumeration Date | 07/18/2008
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 17355 LOWER BOONES FERRY RD STE 100A
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City | PORTLAND
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State | OR
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Zip | 97035
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Country | US
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Telephone | 503-224-8399
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Fax | 503-224-5661
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Provider Business Mailing Address
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Address Line | 17355 LOWER BOONES FERRY RD STE 100A
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City | PORTLAND
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State | OR
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Zip | 97035
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Country | US
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Telephone | 503-224-8399
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Fax | 503-224-8399
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 51880
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | MD176313
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License Number State | OR
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