MEDICARE: MRS. BOUNTHIENG S. OUANESISOUK RN

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	163WM0705X	Medical-Surgical Registered Nurse	200541699RN	OR

General Provider Information

NPI Number	:	1114194602
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BOUNTHIENG S. OUANESISOUK RN

Provider Business Mailing Address
First Line	:	19313 GENTRY HIGHLANDS LN
Second Line	:
City	:	OREGON CITY
State	:	OR
Zip	:	97045-7577
Country	:	US
Telephone Number	:	503-442-9573
Fax Number	:

Provider Business Practice Location Address
First Line	:	19313 GENTRY HIGHLANDS LN
Second Line	:
City	:	OREGON CITY
State	:	OR
Zip	:	97045-7577
Country	:	US
Telephone Number	:	503-442-9573
Fax Number	:

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

Provider Enumeration Date	:	05/13/2008
Last Update Date	:	05/13/2008

Similar Medicare Providers

1689665341 — DR. JAMES CHARLES COMSTOCK M.D.
Practice Location Address:

3420 INWOOD AVE
LAKE CITY, IA
51449-7577

Practice Phone: 712-464-7251
Practice Fax:

1801959697 — ANTHONY R. ELLIS DO
Practice Location Address:

3478 INWOOD AVE
LAKE CITY, IA
51449-7577

Practice Phone: 712-464-1015
Practice Fax:

1285040188 — ASHLEE WEBER D.D.S., M.S.
Practice Location Address:

7577 NW BARRY RD STE A
KANSAS CITY, MO
64153-1789

Practice Phone: 816-746-1200
Practice Fax: 816-746-8937

1841143286 — KRISTI LYNN LUCAS
Practice Location Address:

14279 S GLEN OAK ROAD
OREGON CITY, OR
97045

Practice Phone: 503-657-7629
Practice Fax: 503-557-8651

1235721085 — WELLNESS BOUND MENTAL HEALTH LLC
Practice Location Address:

12999 S MACDONALDS PL
OREGON CITY, OR
97045-7529

Practice Phone: 541-295-5172
Practice Fax: 971-362-4818

1699633263 — BRITAIN DREW MCGEE QMHA-R
Practice Location Address:

10545 S PHIL WAY
OREGON CITY, OR
97045-8490

Practice Phone: 503-656-9693
Practice Fax:

Directions to “ MRS. BOUNTHIENG S. OUANESISOUK RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.