MEDICARE: DR. DUNG THANH NGUYEN D.O

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	207Q00000X	Family Medicine Physician	BP10050256	TX
2	207Q00000X	Family Medicine Physician	D0182538	OR

Other Identifiers

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

General Provider Information

NPI Number	:	1447665625
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DUNG THANH NGUYEN D.O

Provider Business Mailing Address
First Line	:	7320 SW HUNZIKER RD STE 300
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97223-2302
Country	:	US
Telephone Number	:	503-941-3033
Fax Number	:	503-747-7013

Provider Business Practice Location Address
First Line	:	10690 NE CORNELL RD STE 220
Second Line	:
City	:	HILLSBORO
State	:	OR
Zip	:	97124
Country	:	US
Telephone Number	:	503-848-5861
Fax Number	:	503-848-5863

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

Provider Enumeration Date	:	06/25/2014
Last Update Date	:	12/03/2025

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