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NPI Code Detail

MEDICARE: VICTOR DUC-THANG NGUYEN MD

MEDICARE: VICTOR DUC-THANG NGUYEN MD
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
1390200000XStudent in an Organized Health Care Education/Training Program
22085R0204XVascular & Interventional Radiology PhysicianMD.MD.61279132WA

General Provider Information

NPI Number : 1356797906
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTOR DUC-THANG NGUYEN MD
Provider Business Mailing Address
First Line : 400 NE MOTHER JOSEPH PL
Second Line :
City : VANCOUVER
State : WA
Zip : 98664-3200
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 400 NE MOTHER JOSEPH PL
Second Line :
City : VANCOUVER
State : WA
Zip : 98664-3200
Country : US
Telephone Number : 360-514-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2016
Last Update Date : 03/05/2026

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