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NPI Code Detail

MEDICARE: DR. TUAN ANH NGUYEN MD

MEDICARE: DR. TUAN ANH 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
1208200000XPlastic Surgery PhysicianMD20573OR

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2240007422OTHERORMEDICARE RAILROAD PROV #

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386721694
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TUAN ANH NGUYEN MD
Provider Business Mailing Address
First Line : 10 TOUCHSTONE
Second Line :
City : LAKE OSWEGO
State : OR
Zip : 97035-1910
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 15820 QUARRY RD
Second Line :
City : LAKE OSWEGO
State : OR
Zip : 97035-3336
Country : US
Telephone Number : 503-635-1955
Fax Number : 503-635-1958
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 07/08/2007

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Directions to “ DR. TUAN ANH NGUYEN MD” Practice Location

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